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Individual

PHEAP CHHORM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1423 HOFFMAN AVE, PARK RIDGE, IL 60068-1323
(773) 750-3285
Mailing address
1423 HOFFMAN AVE, PARK RIDGE, IL 60068-1323
(773) 750-3285

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
PA

Other

Enumeration date
06/28/2025
Last updated
06/28/2025
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