Individual
DR. DANIEL H PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
3849 NORTHRIDGE DR, ROCKFORD, IL 61114-4773
(312) 848-2181
(815) 636-0156
Mailing address
3849 NORTHRIDGE DR, ROCKFORD, IL 61114-4773
(312) 848-2181
(815) 636-0156
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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