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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK M PHAM, DNP, APRN, FNP-BC

Active Sole Proprietor

DR. JACK M PHAM, DNP, APRN, FNP-BC is a Family Nurse Practitioner healthcare provider located in CHICAGO, Illinois. NPI 1427566454 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · CHICAGO, IL

Registration Details

NPI Number
1427566454
Provider Type
Individual
Gender
Male
NPI Issued
Jan 11, 2018 (8.5608676464854 yrs)
Last Updated
Mar 5, 2024
Licenses
209027448 (IL)
209027448 (IL)
209027448 (IL)
Sole Proprietor
Yes

Practice Information

Address
4947 N WINTHROP AVE
CHICAGO, IL, 606403607
Browse IL providers · Browse ZIP 60640
Phone
7734554325
Fax
7738380902
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Nurse Practitioner

Other Family Nurse Practitioner Providers in CHICAGO, IL

Name Credential NPI
ANNE E TURNER ANP-C 1487658084
YANA DYMARSKIY APRN, FNP 1154322097
MARY L TORNABENE APN 1730180621
SARAH LAU APN 1548254378
CYNTHIA D DAVIS FNP 1902897028
VALERIE URYGA NP 1154309151
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.