Individual
PHUONG NHU THI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10258 SOUTHWEST HWY STE A, CHICAGO RIDGE, IL 60415-1361
(708) 346-9533
Mailing address
10258 SOUTHWEST HWY STE A, CHICAGO RIDGE, IL 60415-1361
(708) 346-9533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011147
IL
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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