Provider Demographics
NPI:1962443507
Name:SEARBY, PHILIP LAWRENCE (DPM)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:LAWRENCE
Last Name:SEARBY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 HUEHL RD. #13
Mailing Address - Street 2:PREFERRED PODIATRY GROUP
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062
Mailing Address - Country:US
Mailing Address - Phone:847-504-5000
Mailing Address - Fax:847-504-5015
Practice Address - Street 1:425 HUEHL. #13
Practice Address - Street 2:PREFERRED PODIATRY GROUP
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062
Practice Address - Country:US
Practice Address - Phone:847-504-5000
Practice Address - Fax:847-504-5015
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016003403213E00000X
WI797025213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI797025OtherLICENSE
IL016003403OtherLICENSE
IL016003403Medicaid
WI001281435Medicare PIN
WI000586499Medicare PIN
WI000685070Medicare PIN
WI000386550Medicare PIN
WI797025OtherLICENSE
IL016003403Medicaid
480019851Medicare PIN
ILL52071Medicare PIN
WI000586476Medicare PIN
ILT11563Medicare UPIN
WI001183045Medicare PIN
WI000586476Medicare PIN
WI000685070Medicare PIN