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NPI Code Detail

MEDICARE: PHILLIP SANTANA ANG

MEDICARE: PHILLIP SANTANA ANG
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
1207N00000XDermatology PhysicianXXXXXIL

General Provider Information

NPI Number : 1376488528
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP SANTANA ANG
Provider Business Mailing Address
First Line : 2111 S WABASH AVE APT 1014
Second Line :
City : CHICAGO
State : IL
Zip : 60616-1783
Country : US
Telephone Number : 781-985-4480
Fax Number :
Provider Business Practice Location Address
First Line : 2111 S WABASH AVE APT 1014
Second Line :
City : CHICAGO
State : IL
Zip : 60616-1783
Country : US
Telephone Number : 781-985-4480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ PHILLIP SANTANA ANG ” Practice Location

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