DR. BROCK A PHILLIPS (NPI# 1710407002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710407002 |
| Entity Type | Individual |
| Full Name | DR. BROCK A PHILLIPS |
| Credential | MD |
| Practice Address |
125 E Plummer Blvd Ste A Chatham IL 62629-8136 |
| Practice Telephone | 3144546006 |
| Mailing Telephone | 3144546006 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036152530 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
125 E PLUMMER BLVD STE A |
| City | CHATHAM |
| State | IL |
| Zip Code | 62629-8136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538188818 | James T Crabtree | Family Medicine | 125 E Plummer Blvd Ste A, Chatham, IL 62629-8136 | 2006-07-18 |
| 1992238810 | Angela Faith Mccormick | Nurse Practitioner | 125 E Plummer Blvd Ste A, Chatham, IL 62629-8136 | 2017-04-07 |
| 1174905574 | Sahar Yazdani | Family Medicine | 125 E Plummer Blvd Ste A, Chatham, IL 62629 | 2015-06-22 |
| 1225183890 | Kenneth Wayne Schmidt | Family Medicine | 125 E Plummer Blvd Ste A, Chatham, IL 62629 | 2007-01-24 |
| 1932119112 | John C Rollet | Family Medicine | 125 E Plummer Blvd Ste A, Chatham, IL 62629-8136 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482231 | Crystal Lynn Jordan | Nurse Practitioner | 638 Oakbrook Ave, Chatham, IL 62629 | 2020-09-18 |
| 1164523775 | Ball Chatham Comm Unit School District 5 | Local Education Agency (LEA) | 201 Mulberry Street, Chatham, IL 62629 | 2006-09-26 |
| 1962518860 | Jean Corriveau | Dentist | 1209 N. Main St., Chatham, IL 62629 | 2006-08-22 |
| 1811948201 | Joyner Therapy Services | Clinic/Center | 217 S. Adams, Golconda, IL 62629 | 2006-05-12 |
| 1376706234 | Advance Physical Therapy & Sports Medicine of Chatham LLC | Physical Therapist | 1089 Jason Pl, Chatham, IL 62629 | 2008-07-09 |
| 1649496076 | Maurice Eugene Sullivan IIi | Chiropractor | 1209 N Main St, #b, Chatham, IL 62629-0264 | 2007-04-17 |
| 1891837027 | Sullivan Chiropractic of Chatham, P.C. | Chiropractor | 1209 N. Main St., #b, Chatham, IL 62629-0264 | 2007-02-13 |
| 1992293096 | Katrina Toran | Counselor | 111 E Walnut St Unit 491, Chatham, IL 62629-0816 | 2018-04-25 |
| 1285806356 | Ellyn Joyce Driver | Early Intervention Provider Agency | 30 Partridge Dr, Chatham, IL 62629-1027 | 2008-03-29 |
| 1861826166 | Ma Lizza Martinez Mendiola | Physical Therapist | 106 Cottonwood Dr, Chatham, IL 62629-1047 | 2013-08-23 |
| Find all providers in zip 62629 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386880854 | Frances Dapas | Pediatrics | 2 Joanna Way, Chatham, NJ 07928-2968 | 2009-01-05 |
| 1720246655 | John Harry Krikorian | Pediatrics | 38 Peppermill Road, Chatham, NJ 07928 | 2008-05-28 |
| 1487666269 | Jayshree Narsing Kumta | Pediatrics | 420 River Road, Apartment K-6, Chatham, NJ 07928-1256 | 2006-08-12 |
| 1558316430 | Touchpoint Pediatrics, P.a. | Pediatrics | 17 Watchung Ave, Chatham, NJ 07928-2700 | 2006-05-23 |
| 1023078334 | Lawrence Greitzer | Pediatrics | 29 Jones Ave, Chatham, NY 12037-1136 | 2006-03-23 |
| 1851368849 | Elsie C Estrada | Pediatrics | 12 Parrott Mill Rd, Chatham, NJ 07928-2744 | 2006-03-08 |
| 1023376647 | Danielle M Corpuz | Pediatrics | 17 Watchung Ave, Chatham, NJ 07928-2700 | 2012-05-02 |
| 1730361676 | Margot I Kerrigan | Pediatrics | 17 Watchung Ave, Chatham, NJ 07928-2700 | 2007-12-03 |
| 1013112507 | Chatham Pediatrics, LLC | Pediatrics | 12 Parrott Mill Rd, Chatham, NJ 07928-2744 | 2007-06-15 |
| 1295820470 | Valerie Tom | Pediatrics | 17 Watchung Ave, Chatham, NJ 07928-2700 | 2006-10-04 |
| Find all providers in CHATHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.