| Phylla House Clinic | |
|
1332 Greenfield Ave Waukegan IL 60085-7813 | |
| (708) 548-9209 | |
| Not Available |
| Full Name | Phylla House Clinic |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 1332 Greenfield Ave, Waukegan, Illinois |
| Authorized Official Name and Position | Robert H Marshall (CEO) |
| Authorized Official Contact | 7085489209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phylla House Clinic Po Box 973 Waukegan IL 60079-0973 Ph: (708) 548-9209 | Phylla House Clinic 1332 Greenfield Ave Waukegan IL 60085-7813 Ph: (708) 548-9209 |
| NPI Number | 1437916962 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437916962 | NPI | - | NPPES |
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