DR. KELLY M PHILLIPS (NPI# 1104118355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104118355 |
| Entity Type | Individual |
| Full Name | DR. KELLY M PHILLIPS |
| Credential | DVM |
| Practice Address |
1808 S Randall Rd Algonquin IL 60102-5925 |
| Practice Telephone | 8478543351 |
| Mailing Telephone | 8478543351 |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2012-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 090010516 | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305678 | Kelly Phillips | Occupational Therapist | 6447 Springfield Blvd, Oakland Gardens, NY 11364-2337 | 2020-08-05 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1083857064 | Kelly Phillips | Registered Nurse | 10 Upland Rd, Belmont, MA 02478-2302 | 2009-04-07 |
| 1467662106 | Kelly G Phillips | Marriage & Family Therapist | 1035a Director Ct, Greenville, NC 27858-5996 | 2007-05-23 |
| 1073593349 | Kelly Phillips | Family Medicine | 821 N. Coleman St., 100, Prosper, TX 75078 | 2006-01-20 |
| 1871192906 | Kelly Phillips | Social Worker | 203 East St, Easthampton, MA 01027-1234 | 2020-10-20 |
| 1407453178 | Kelly R. Phillips | Social Worker | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-06 |
| 1518595859 | Kelly Phillips | Student in an Organized Health Care Education/Training Program | 5800 Hannum Ave Ste 105, Culver City, CA 90230-6553 | 2020-03-31 |
| 1619536513 | Kelly M Phillips | Speech-Language Pathologist | 889 N Aurora Rd, Aurora, OH 44202-9537 | 2019-06-13 |
| 1922586999 | Kelly Marie Phillips | Counselor | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2018-08-01 |
| Street Address |
1808 S RANDALL RD |
| City | ALGONQUIN |
| State | IL |
| Zip Code | 60102-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411329 | Amber Nicole Bianchi | Massage Therapist | 265 Stonegate Road, Algonquin, IL 60102 | 2020-03-04 |
| 1255971156 | Cler Family Solutions LLC | Case Management | 12 Waterfront Ct, Algonquin, IL 60102 | 2020-01-09 |
| 1114577079 | Camp Chirotherapy LLC | Chiropractor | 3925 W Algonquin Rd, Algonquin, ID 60102 | 2019-09-12 |
| 1295380392 | Kevin Layton Sanderson | In Home Supportive Care | 9604 Zimmer Drive, Algonquin, IL 60102 | 2019-08-06 |
| 1669964300 | Favia Primary Care, Sc | Family Medicine | 1340 Ryan Parkway, Algonquin, IL 60102 | 2018-05-30 |
| 1285142745 | Melissa Sue Aeschliman | Speech-Language Pathologist | 8 White Chapel Ct., Algonquin, IL 60102 | 2018-01-18 |
| 1295251940 | Maria Melina Dominguez | Counselor | 1138 N. Main Street, Algonquin, IL 60102 | 2017-08-15 |
| 1578001830 | Advanced Dental and Implant Care PC | Dentist | 2310 Huntington Dr. N., Algonquin, IL 60102 | 2017-02-07 |
| 1871037861 | Rehabcare Group East, LLC | Clinic/Center | 212 Eastgate Ct, Algonquin, IL 60102 | 2016-12-09 |
| 1891172664 | Foot and Ankle Specialists of Illinois Ltd | Podiatrist | 2430 Esplanade Drive Suite A, Algonquin, IL 60102 | 2015-04-30 |
| Find all providers in zip 60102 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144602434 | Peter Haase | Veterinarian | 1195 E Palatine Rd, Arlington Heights, IL 60004-3313 | 2015-06-23 |
| 1720467335 | Sarah Pruss | Veterinarian | 2079 Lincoln Hwy, St Charles, IL 60174-1580 | 2015-05-28 |
| 1992190441 | Robert Robbins | Veterinarian | 4287 Eldamain Rd, Plano, IL 60545-9711 | 2015-04-01 |
| 1619369824 | Russell Jones | Veterinarian | 720 Kennedy Dr, Metropolis, IL 62960-2630 | 2015-02-25 |
| 1538566278 | Jennifer Armstrong | Veterinarian | 9351 Old Highway 13, Murphysboro, IL 62966-5530 | 2014-11-24 |
| 1700283587 | Catherine O'keefe | Veterinarian | 22096 N Pet Ln, Prairie View, IL 60069-4112 | 2014-11-22 |
| 1770992026 | Andrea Kuehn | Veterinarian | 225 W Division St, Chicago, IL 60610-1820 | 2014-08-11 |
| 1316362908 | Cherlene Delgado | Veterinarian | 820 W Frontage Rd, Northfield, IL 60093-1205 | 2014-02-19 |
| 1265855803 | Shawna Nicole Greene | Veterinarian | 2600 W. Galena Blvd., Aurora, IL 60506 | 2014-02-03 |
| 1922421882 | Christopher Shule | Veterinarian | 11711 Catalpa Ln, Woodstock, IL 60098-6924 | 2014-01-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.