Organization
DANIEL H PHAM, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL PHAM (PRESIDENT)
(312) 848-2181
Entity
Organization
Contact information
Practice address
3849 NORTHRIDGE DR, ROCKFORD, IL 61114-4773
(815) 636-0440
(815) 636-0156
Mailing address
4284 VALLEY VIEW DR, LOVES PARK, IL 61111-8658
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46008703
IL
Other
Enumeration date
02/13/2007
Last updated
08/08/2014
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