MEDICARE: BRYAN J PHILLIPS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	036098037	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180039547	OTHER	IL	RAILROAD MEDICARE
4	K46495	OTHER	IL	MEDICARE PROVIDER NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0031600193	OTHER	IL	BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	3970320001	OTHER	IL	DMERC

General Provider Information

NPI Number	:	1114923497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYAN J PHILLIPS M.D.

Provider Business Mailing Address
First Line	:	718 S WEBER ROAD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60490
Country	:	US
Telephone Number	:	630-378-4799
Fax Number	:	630-378-4783

Provider Business Practice Location Address
First Line	:	718 S WEBER ROAD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60490
Country	:	US
Telephone Number	:	630-378-4799
Fax Number	:	630-378-4783

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	07/26/2013

Similar Medicare Providers

1871449934 — SEEK HEALTHCARE INCORPORATED
Practice Location Address:

1646 APRICOT ST
BOLINGBROOK, IL
60490-2066

Practice Phone: 773-584-7571
Practice Fax:

1831046440 — LAKESHA THOMPSON
Practice Location Address:

291 CRABAPPLE ST
BOLINGBROOK, IL
60490-2005

Practice Phone: 773-512-6266
Practice Fax:

1043837636 — KORA M FIELDS-JONES APRN
Practice Location Address:

131 TECUMSEH DR
BOLINGBROOK, IL
60490-5566

Practice Phone: 773-297-9050
Practice Fax:

1265388805 — DR. HEATHER LYNN BROWDER DNP, AGACNP-BC
Practice Location Address:

125 S PALMER DR
BOLINGBROOK, IL
60490-6506

Practice Phone: 708-733-0273
Practice Fax:

1619976016 — DR. MARY E. DORAN D.P.M
Practice Location Address:

726 S WEBER RD
BOLINGBROOK, IL
60490-5451

Practice Phone: 630-739-6610
Practice Fax:

1346223849 — DR. STEPHEN KALMAR M.D.
Practice Location Address:

1914 DANUBE WAY
BOLINGBROOK, IL
60490-6501

Practice Phone: 773-771-9391
Practice Fax:

Directions to “ BRYAN J PHILLIPS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.