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Individual

DR. HUYEN CECILE PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
25 N WINFIELD ROAD, WINFIELD, IL 60190
(630) 933-4700
(630) 933-4427
Mailing address
25 N WINFIELD ROAD, WINFIELD, IL 60190
(630) 933-4700
(630) 933-4427

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125053382
IL
208M00000X
Hospitalist Physician
Primary
036125025
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0222075
CDPG BCBS
IL
05
036125025
IL
01
206147
MEDICARE PTAN (GROUP)
01
206147025
MEDICARE PTAN (INDIVIDUAL)
01
CA4748
MEDICARE RAILROAD PTAN (GROUP)
01
P00879081
MEDICARE RAILROAD PTAN (INDIVIDUAL)
Enumeration date
06/10/2008
Last updated
03/17/2018
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