Pan, Philip D

Pan, Philip D is an individual health care provider with primary practice located at 520 N 4Th St , Springfield IL 62702-5238. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Pan, Philip D can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
520 N 4Th St Springfield IL 62702-5238
Phone: (217) 545-8000
Fax: (217) 757-8161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 036-086766 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-086766 Illinois

Profile Details

NPI number 1548248180
LBN Legal business name Pan, Philip D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Dec 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548248180 NPPES
Illinois MEDICAID 036086766
Illinois Other 036-086766

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