Active NPI
Natalie Phillips, DDS
- Dentist
- Chicago, IL
National Provider Identifier
1013891704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.036361
- Practice address
- 2409 W Lawrence Ave
Chicago, IL 60625-2911 - Phone
- (773) 284-1977
- NPI assigned
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.036361 | IL | Primary |
Addresses
Primary practice location
2409 W Lawrence Ave
Chicago, IL 60625-2911
Mailing address
13301 Portsmouth Xing
Plymouth, MI 48170-2961
Phone (734) 660-7013
Other practice location 1
824 W Grand Ave.
Chicago, IL 60642
Phone (773) 378-9281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.036361 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1013891704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13301 PORTSMOUTH XING",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481702961",
"telephone_number": "734-660-7013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 W LAWRENCE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252911",
"telephone_number": "773-284-1977"
}
],
"practiceLocations": [
{
"address_1": "824 W Grand Ave.",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60642",
"country_code": "US",
"telephone_number": "773-378-9281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "NATALIE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-05",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.036361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.