Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SANDRA MARIE PHILLIPS, LDN
Active Sole ProprietorNutrition, Education · BLUE ISLAND, IL
Registration Details
- NPI Number
- 1760787378
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 13, 2011 (15.309683019377 yrs)
- Last Updated
- Jan 13, 2011
- License
-
164.003956 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2262 W. 119TH PL.BLUE ISLAND, IL, 604061123Browse IL providers · Browse ZIP 60406
- Phone
- 6308652529
- Fax
- 7083850882
- Primary Specialty
-
Nutrition, Education
133NN1002X
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.