Healthcare Provider Details

I. General information

NPI: 1023937109
Provider Name (Legal Business Name): HEMA PHILIP APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 S OAKHURST DR
AURORA IL
60504-6611
US

IV. Provider business mailing address

160 S OAKHURST DR
AURORA IL
60504-6611
US

V. Phone/Fax

Practice location:
  • Phone: 630-699-0056
  • Fax:
Mailing address:
  • Phone: 630-699-0056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number209.036096
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: