Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Matthew David Phillips, MD

Individual provider Surgery Physician · NPI 1962066597

Dr. Matthew David Phillips, MD is a General Surgery in Elmwood Park, Illinois. Graduated from Indiana University School of Medicine in 2019, 7 years ago. Practices with Tiesenga Surgical Associates SC, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Trained at
Indiana University School of Medicine
Licensed in
IL
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1950 N Harlem Ave
Elmwood Park, IL 60707-3717
Phone: (708) 453-6800
Fax: (708) 453-3235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036171243 (IL)

Record details

NPI number1962066597
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2019
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address1950 N Harlem Ave, Elmwood Park, IL 60707-3717

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Tiesenga Surgical Associates Sc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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