Catherine Jean Phillips, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209012252 Issued in IL

Practice address

3134 N Clark St
Chicago, IL 60657-4414

Phone

(773) 296-7032

Fax

(312) 766-4946

NPI assigned

Jan 22, 2015

Last updated

Oct 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1881083327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3134 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574414",
            "telephone_number": "773-296-7032",
            "fax_number": "773-296-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3134 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574414",
            "telephone_number": "773-296-7032",
            "fax_number": "312-766-4946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 Fargo Blvd.",
            "address_2": "Fox Valley Family Physicians",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "60134",
            "country_code": "US",
            "telephone_number": "630-232-2200",
            "fax_number": "630-232-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 W Fullerton Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606472319",
            "country_code": "US",
            "telephone_number": "773-782-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CATHERINE",
        "middle_name": "JEAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arla Aishia Phillips, RRT
• Audrey Ann Phillips, OTR/L
• Brandon T Phillips I
• Brittany Phillips
• Caitlin Phillips, ATC
• Charles Alvin Phillips Jr.
• Chase Phillips, PA
• Christian J Phillips, PHARMD
• Christopher L Phillips, L.AC
• Cynthia Phillips, FNP-BC

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.