Bryan J Phillips MD SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036-098037 Issued in IL

Legal business name

BRYAN J PHILLIPS MD SC

Practice address

718 S Weber Road
Bolingbrook, IL 60490

Phone

(630) 378-4799

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Melissa Hofsteadter

Title

Billing Manager

Phone

(630) 378-4799

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phillips Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan J Phillips, M.D.

  • Ophthalmology Physician
  • Bolingbrook, IL
  • NPI 1114923497
  Medicare reassignment Care Compare group NPD
• Dawn Renee Phillips, M.D.

  • Ophthalmology Physician
  • Bolingbrook, IL
  • NPI 1235293630
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1104981455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 S WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905472",
            "telephone_number": "630-378-4799",
            "fax_number": "630-378-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 S WEBER ROAD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60490",
            "telephone_number": "630-378-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN J PHILLIPS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "HOFSTEADTER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "630-378-4799"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-098037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9932024",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brightlife Regenerative Medical Clinic of Bolingbrook
• Karla Rhea Brooks
• Alana Brown
• Kalyna Yvette Brumfield
• Deborah Brunick, LCSW
• Theresa Gail Buckley, RNFA
• Patrick Budney, DMD
• Building Resilience PLLC
• Bundles of Joy Services Inc.
• Anthony M Buonamici, ATC

• Ophthalmology Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.