Search › Illinois › 363A00000X
Jayme Phillips, PA-C
NPI 1316331408 · on the registry since 2015
Practice
- Address
- 7303 N Knoxville Ave
Peoria, IL 61614 - Phone
- (309) 691-4005
- Fax
- (309) 691-6144
- Organisation at this address
- Associated Surgical Group, Sc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- IL, AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois