George E Dephillips MD SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036073278 Issued in IL

Legal business name

GEORGE E DEPHILLIPS MD SC

Practice address

903 N 129TH Infantry Dr Ste 200
Joliet, IL 60435-5002

Phone

(815) 741-2312

NPI assigned

May 14, 2012

Last updated

May 14, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George E Dephillips, MD

Title

President

Phone

(815) 741-2312

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1023377801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 N 129TH INFANTRY DR STE 200",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355002",
            "telephone_number": "815-741-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N 129TH INFANTRY DR STE 200",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355002",
            "telephone_number": "815-741-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE E DEPHILLIPS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "DEPHILLIPS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-741-2312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036073278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt A Gengenbacher, DPT,CSCS
• Genoa Healthcare LLC
• Jacob Richard Genord, DPT
• Gentle Space Wellness and Counseling, PLLC
• George Dephillips
• George Miguel MD Inc
• George T. Jones M.D.S.C
• Joe Mathew George, DPM
• Stacey George
• Ruth Edith Gerhart, LCSW

• Specialist in Joliet, IL
• Providers in Joliet, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.