| David Phillips, MD | |
|
1850 Gateway Dr, Sycamore, IL 60178-3192 | |
| (815) 758-8671 | |
| (815) 758-5610 |
| Full Name | David Phillips |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1850 Gateway Dr, Sycamore, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669484713 | NPI | - | NPPES |
| 083075 | Other | IL | HEALTH ALLIANCE |
| 036084642 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036-084642 (Illinois) | Primary |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Entity Name | Kishwaukee Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932480605 PECOS PAC ID: 3870768054 Enrollment ID: O20111216000435 |
| Mailing Address | Practice Location Address |
|---|---|
| David Phillips, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 | David Phillips, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 |
Dr. Kolawole Olufemi Dominik Sofowora, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 165 E Plank Rd, Sycamore, IL 60178 Phone: 815-363-9400 Fax: 314-454-4102 | |
Suzanne Cook, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 | |
Dr. Kristina Elizabeth Stibitz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-758-7460 | |
Ilaxi Patel, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 | |
Urmi Sheth, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 616-391-8810 | |
Mark Alan Regnier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1830 Mediterranean Dr, Sycamore, IL 60178 Phone: 815-899-0001 Fax: 815-899-0002 |