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Philip Mcintosh

NPI 1932488350 · on the registry since 2011 · sole proprietor

Practice

Address
1915 Lake St
Mount Vernon, IL 62864
Phone
(618) 315-3525

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-08-16

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