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Individual
DR. HUYEN CECILE PHAN
Active
Individual
DR. HUYEN CECILE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125053382
IL
208M00000X
Hospitalist Physician
Primary
036125025
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
CDPG BCBS
IL
05
—
036125025
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
—
01
—
206147025
MEDICARE PTAN (INDIVIDUAL)
—
01
—
CA4748
MEDICARE RAILROAD PTAN (GROUP)
—
01
—
P00879081
MEDICARE RAILROAD PTAN (INDIVIDUAL)
—
Enumeration date
06/10/2008
Last updated
03/17/2018
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