Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charles Alvin Phillips Jr.

Individual provider Social Worker · NPI 1124953476

Mr. Charles Alvin Phillips Jr. is a Social Worker in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026
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Practice location Address checks out

259 E 115th St
Chicago, IL 60628-5014
Phone: (773) 339-7394
Fax: (773) 339-7394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150.118110 (IL)

Record details

NPI number1124953476
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 17, 2026
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

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