Davis Phillpotts, Beth

Davis Phillpotts, Beth is an individual health care provider with primary practice located at 675 W North Ave Suite 414, Melrose Park IL 60160-1634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis Phillpotts, Beth can be contacted via phone (708) 681-7858.

Contact Information

Primary practice address
675 W North Ave Suite 414 Melrose Park IL 60160-1634
Phone: (708) 681-7858
Fax: (708) 681-7816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036089148 Illinois

Profile Details

NPI number 1982686358
LBN Legal business name Davis Phillpotts, Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jan 8th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982686358 NPPES
Illinois MEDICAID 036089148

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