Individual
PHILIP D PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 N 4TH ST, SPRINGFIELD, IL 62702-5238
(217) 545-8000
(217) 757-8161
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(844) 470-2488
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
036-086766
IL
2084P0800X
Psychiatry Physician
Primary
036-086766
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-086766
STATE LICENSE
IL
05
—
036086766
—
IL
Enumeration date
01/04/2006
Last updated
12/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us