Misty M. Phillips, M.D.

Pediatrics Physician · Springfield, IL

Individual Active NPI

NPI number 1053461657

Practice location

2532 Farragut Dr
Springfield, IL 62704-1433
Phone
(217) 528-7541

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NPI record

NPI
1053461657
Entity type
Individual (Type 1)
Enumeration date
January 12, 2007
Last updated
May 21, 2020
Certified
May 21, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 036117503 IL

Mailing address

1025 S 6TH St
Springfield, IL 62703-2403
Phone
(217) 528-7541

About Dr. Phillips

Misty M. Phillips, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2532 Farragut Dr, Springfield, IL 62704-1433. The NPI number 1053461657 was assigned on January 12, 2007 and the record was last updated on May 21, 2020.

Dr. Phillips lists a license in the registry: #036117503 (IL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Misty M. Phillips, M.D.?

The NPI number is 1053461657.

What is the phone number of Dr. Phillips?

The phone number listed for the practice location is (217) 528-7541.

Where is Dr. Phillips located?

2532 Farragut Dr, Springfield, IL 62704-1433.

What is the taxonomy code for Dr. Phillips?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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