Individual provider · Type 1 NPI

Ebony Roxanne Phillips

Prosthetic/Orthotic Supplier · Chicago, IL

NPI number 1316792500 Active

Practice location

1 E Erie St Ste 525-2055
Chicago, IL 60611-2740

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1316792500

Ebony Roxanne Phillips's National Provider Identifier is 1316792500, issued on Apr 22, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Chicago, IL. The record was last updated on Apr 22, 2024.