Individual
MR. ANTHONY CALVIN PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15300 WEST AVE STE 210, ORLAND PARK, IL 60462-4686
(630) 909-7000
(630) 909-7002
Mailing address
15300 WEST AVE STE 210, ORLAND PARK, IL 60462-4686
(630) 909-7000
(630) 909-7002
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036165088
IL
208100000X
Physical Medicine & Rehabilitation Physician
125076215
IL
Other
Enumeration date
03/28/2019
Last updated
12/08/2023
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