Individual
MISS JUN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN,LDN
Contact information
Practice address
850 W IRVING PARK RD, CHICAGO, IL 60613-3077
(773) 975-6802
Mailing address
850 W IRVING PARK RD, CHICAGO, IL 60613-3077
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007244
IL
Other
Enumeration date
04/13/2020
Last updated
04/16/2020
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