Most Relevant Information
Provider Data
| NPI Number: | 1003802349 |
| Provider Name: | MARTIN T PHILLIPS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207RI0200X |
| Specialty: | Internal Medicine |
| License Number: | 036-104648 |
Most Important Dates
| Enumeration Date: | 09/22/2005 |
| Last Updated: | 12/29/2021 |
Provider Practice Location
555 W COURT ST
SUITE 108
KANKAKEE
IL
609013664
Practice Location Phone/Fax
| Phone: | 8882206432 |
| Fax: | 6306544253 |
Provider Mailing Location
901 MCCLINTOCK DR
SUITE 202
BURR RIDGE
IL
605270844
Provider Mailing Phone/Fax
| Phone: | 8882206432 |
| Fax: | 6306544253 |
Suggested EMR
Infectious Disease EMR