GARY L PHILLIPS (NPI# 1962576439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962576439 |
| Entity Type | Individual |
| Full Name | GARY L PHILLIPS |
| Credential | S.T.D. |
| Practice Address |
550 Sunset Ridge Rd Northfield IL 60093-1027 |
| Mailing Address |
3609 Central St Evanston IL 60201-4917 |
| Practice Telephone | 8474460050 |
| Practice Fax Number | 8478643538 |
| Mailing Telephone | 8478646312 |
| Mailing Fax Number | 8478643538 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104247485 | Gary M Phillips | General Practice | 259 West Pl, Township of Washington, NJ 07676-4738 | 2014-01-03 |
| 1497964928 | Gary Benjamin Phillips | Dentist | 4255 Campus Dr # 260, Irvine, CA 92612-2620 | 2007-05-22 |
| 1053390948 | Gary P Phillips | Family Medicine | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 | 2006-01-10 |
| 1871594630 | Gary R Phillips | Family Medicine | 25677 Scott Hwy, Winfield, TN 37892-2293 | 2005-08-02 |
| 1700884277 | Gary Phillips | Internal Medicine | 50 Dayton Ln, Suite 202, Peekskill, NY 10566-2859 | 2005-07-08 |
| 1144525601 | Gary Dean Phillips | Pulmonary Function Technologist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2011-01-13 |
| 1932270170 | Gary Phillips | Pharmacist | 400 N Jefferson St, Albany, GA 31701-2359 | 2006-11-10 |
| 1386723864 | Gary Joe Phillips | Pharmacist | 400 Old Smithfield Rd, Goldsboro, NC 27530-8464 | 2006-11-03 |
| Street Address |
550 SUNSET RIDGE RD |
| City | NORTHFIELD |
| State | IL |
| Zip Code | 60093-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812346 | Rosa Machabanski | Counselor | Josselyn Center, 405 Central Ave, Northfield, IL 60093 | 2020-02-11 |
| 1972080273 | Solutions-north Shore | Clinic/Center | 550 W Frontage Road, Suite 2810, Northfield, IL 60093 | 2018-07-19 |
| 1639671001 | Ilyssa Emily Lasky | Counselor | 723 Elm St Ste 20, Winnetka, IL 60093 | 2018-03-01 |
| 1285140079 | Rebecca Price | Social Worker | 400 Central Ave Ste 202, Northfield, IL 60093 | 2017-12-17 |
| 1063801033 | Anthony J. Geroulis, Md., S.c | Otolaryngology | 330 West Frontage Rd, Northfield, IL 60093 | 2015-01-14 |
| 1417354093 | Ardeshir Raghian Dds PC | Dentist | 723 Elm Street, Suite 21, Winnetka, IL 60093 | 2014-11-26 |
| 1811261092 | Jordan Allen Anderson | Specialist/Technologist | 7 Happ Road, New Trier Township High School, Northfield, IL 60093 | 2012-03-06 |
| 1326317801 | Anita Lynn Schmidt | Social Worker | 466 Central Ave Ste 50, Northfield, IL 60093 | 2011-12-29 |
| 1992087027 | Sivan Hannah Schondorf | Speech-Language Pathologist | 465 Central Ave., 201, Northfield, IL 60093 | 2011-09-14 |
| 1831409317 | The Arnold Center for Integrated Wellness, P.C. | Psychologist | 456 W. Frontage Rd., Suite 32, Northfield, IL 60093 | 2010-10-18 |
| Find all providers in zip 60093 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251148 | Andrew Charles Weis | Psychologist | 158 Water St N Ste 1, Northfield, MN 55057-2125 | 2020-09-25 |
| 1881241586 | Shannon Maura Tassava | Psychologist | 1716 Sunset Dr, Northfield, MN 55057-3237 | 2019-08-19 |
| 1679031231 | Michael Dale Seiler | Psychologist | 778 W Frontage Rd Ste 111, Northfield, IL 60093-1209 | 2019-03-03 |
| 1134684939 | Jennifer Harris Psyd, LLC | Psychologist | 550 W Frontage Rd Ste 2797, Northfield, IL 60093-1238 | 2019-02-05 |
| 1134662042 | Elizabeth Kathryn Hossfeld | Psychologist | 191 Waukegan Rd Ste 208, Northfield, IL 60093-2743 | 2016-11-24 |
| 1407288079 | Meryl Pankhurst | Psychologist | 465 N Central Ave, Suite 201, Northfield, IL 60093-3015 | 2013-08-06 |
| 1124300470 | Joseph W. Byrne | Psychologist | 456 W Frontage Rd Ste 232, Northfield, IL 60093-3034 | 2011-09-13 |
| 1831409317 | The Arnold Center for Integrated Wellness, P.C. | Psychologist | 456 W. Frontage Rd., Suite 32, Northfield, IL 60093 | 2010-10-18 |
| 1073840484 | Barry M Leavitt and Associates | Psychologist | 790 Frontage Rd, Northfield, IL 60093-1204 | 2009-11-05 |
| 1346415015 | Lloyd Thomas Cunningham | Psychologist | 456 W. Frontage Rd. Suite 32, Northfield, IL 60093 | 2008-04-24 |
| Find all providers in NORTHFIELD | ||||
| City | NORTHFIELD |
| Zip Code | 60093 |
Please comment or provide details below to improve the information on GARY L PHILLIPS.
| 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.