Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP PAWSON, M.D.
Active Sole ProprietorPHILLIP PAWSON, M.D. is a General Practice healthcare provider located in DELAVAN, Illinois. NPI 1245415199 is currently active in the NPPES registry. Verify at CMS.
General Practice · DELAVAN, IL
Registration Details
- NPI Number
- 1245415199
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2008 (18.5708614812 yrs)
- Last Updated
- Oct 21, 2008
- License
-
036119614 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
402 PINE ST.DELAVAN, IL, 61734Browse IL providers · Browse ZIP 61734
- Phone
- 3092447669
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.