| Dr Derek Phillips, PSYD | |
|
2732 N Clark St Ste 300, Chicago, IL 60614-1553 | |
| (773) 250-1769 | |
| (773) 250-1769 |
| Full Name | Dr Derek Phillips |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 11 Years |
| Location | 2732 N Clark St Ste 300, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467902809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071.009513 (Illinois) | Secondary |
| 103TP0016X | Psychologist - Prescribing (medical) | 074.000012 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sarah Bush Lincoln Health Center | 5092614867 | 359 |
| Entity Name | Sarah Bush Lincoln Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek Phillips, PSYD 2732 N Clark St Ste 300, Chicago, IL 60614-1553 Ph: (773) 250-1769 | Dr Derek Phillips, PSYD 2732 N Clark St Ste 300, Chicago, IL 60614-1553 Ph: (773) 250-1769 |
Dr. Pamela Daley, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 N Michigan Ave Ste 1022, Chicago, IL 60602 Phone: 773-615-9477 | |
Dr. Marilyn Sue Johnson, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 233 E Erie St, Chicago, IL 60611 Phone: 312-337-0374 Fax: 630-762-9978 | |
Dr. Aisha Kazi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 233 E Erie St, Suite 407, Chicago, IL 60611 Phone: 305-804-5842 | |
Dr. Amber D Bauer-gambla, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25 East Washington Street, Suite 1601, Chicago, IL 60602 Phone: 312-720-8008 | |
Dr. Rachel Catherine Tercek, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1653 W. Congress Parkway, Chicago, IL 60612 Phone: 847-933-9339 | |
Ms. Michelle T Frank, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1448 N Milwaukee Ave, Suite 201, Chicago, IL 60622 Phone: 773-486-4617 Fax: 773-486-4936 | |
Dr. Rae Watkins, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1519 W Irving Park Rd Ste 1, Chicago, IL 60613 Phone: 773-600-7580 |