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Contact Information

PHILLIP D NARCISSI, DPM
19841 WOLF RD
MOKENA, IL60448
 Phone: 708-479-0790
 Fax: 708-479-0792
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PHILLIP D NARCISSI · (Male)

NPI Number 1407816093
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/27/2006
Last updated 12/23/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 016004628
  • IL Other 09904776 BCBS
  • IL Other 480035160 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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