K J Philip MDSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036049083 Issued in IL

Legal business name

K J PHILIP MDSC

Practice address

800 Austin St
Suite 607
Evanston, IL 60202-3439

Phone

(847) 475-6063

Fax

(847) 475-6065

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. K J Philip, M.D.

Title

M.D.

Phone

(847) 475-6063

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Javed Imam, M.D.

  • Medical Oncology Physician
  • Evanston, IL
  • NPI 1548271380

  Specialist

  NPD
• KJ Philip, MD

  • Hematology & Oncology Physician
  • Evanston, IL
  • NPI 1598776494

  Specialist

  NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1407961923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "SUITE 607",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-475-6063",
            "fax_number": "847-475-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "SUITE 607",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-475-6063",
            "fax_number": "847-475-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K J PHILIP MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "PHILIP",
        "authorized_official_first_name": "K",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "847-475-6063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036049083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jrspeech
• Lauren Gabrielle Juarez Duran, MSW
• Julie Bradish
• Seungmin Jung, DPT
• Theodora Kapos Jurichko, RPH
• Anna Stephanie Kabakov, PHARMD, MBA, BCPS
• Elizabeth Lauren Kacel, PHD
• Kyla Kachman, LCSW
• Aimee Kackley, LPC
• Shrinidhi Shrihari Kadkol, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.