Provider Demographics
NPI:1902156045
Name:FILIPPINI, BRIAN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:FILIPPINI
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 MADISON ST
Mailing Address - Street 2:NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-4420
Mailing Address - Country:US
Mailing Address - Phone:708-386-1000
Mailing Address - Fax:708-386-2839
Practice Address - Street 1:5201 WILLOW SPRINGS RD STE 110
Practice Address - Street 2:NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS
Practice Address - City:LA GRANGE HIGHLANDS
Practice Address - State:IL
Practice Address - Zip Code:60525-6504
Practice Address - Country:US
Practice Address - Phone:708-354-1306
Practice Address - Fax:708-386-2839
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085004396207RN0300X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology