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NPI 1316792500

IndividualActive

Ebony Phillips

NPI 1316792500 · Prosthetic/Orthotic Supplier · Chicago, IL

Provider details

NPI number: 1316792500
Entity type: Individual
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Sex: Female
Sole proprietor: Yes

Practice location

1 E Erie St Ste 525-2055

Chicago, IL 60611-2740

Phone: (773) 603-2276

More IL providers

Mailing address

1 E Erie St Ste 525-2055

Chicago, IL 60611-2740

Registry dates

Enumerated: 2024-04-22
Last updated: 2024-04-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ebony Phillips — NPI 1316792500, Chicago, IL | NPI Central