Basic Information
| Provider Information | |||||||||
| NPI: | 1902156045 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FILIPPINI | ||||||||
| FirstName: | BRIAN | ||||||||
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| NamePrefix: | MR. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 855 MADISON ST | ||||||||
| Address2: | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS | ||||||||
| City: | OAK PARK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 603024420 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7083861000 | ||||||||
| FaxNumber: | 7083862839 | ||||||||
| Practice Location | |||||||||
| Address1: | 5201 WILLOW SPRINGS RD STE 110 | ||||||||
| Address2: | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS | ||||||||
| City: | LA GRANGE HIGHLANDS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605256504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7083541306 | ||||||||
| FaxNumber: | 7083862839 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/17/2012 | ||||||||
| LastUpdateDate: | 03/04/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | 085004396 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 363A00000X | 085004396 | IL | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.