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Contact Information

DEREK PHILLIPS, PSY.D.
2732 N CLARK ST STE 300
CHICAGO, IL60614-1553
 Phone: 773-250-1769
 Fax: 773-250-1769
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DEREK PHILLIPS · (Male)

NPI # 1467902809
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 10/10/2016
Last updated 12/29/2025 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 071.009513
  • IL License # 074.000012
Hospital affiliation(s)
  • SARAH BUSH LINCOLN HEALTH CENTER - (Acute Care)
    1000 HEALTH CENTER DRIVE P O BOX 372
    MATTOON, IL 61938
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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