Individual
DR. QUANG DUY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2000 OGDEN AVE, AURORA, IL 60504-7222
(630) 978-4860
Mailing address
185 PENNY AVE, EAST DUNDEE, IL 60118-1454
(847) 836-7015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036094437
IL
208VP0014X
Interventional Pain Medicine Physician
036094437
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094437
—
IL
Enumeration date
08/15/2006
Last updated
02/06/2023
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