Pham, Mary

Pham, Mary is an individual health care provider with primary practice located at 401 Sw Water St Suite 507, Peoria IL 61602-1571. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Pham, Mary can be contacted via phone (309) 494-9320.

Contact Information

Primary practice address
401 Sw Water St Suite 507 Peoria IL 61602-1571
Phone: (309) 494-9320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Illinois

Profile Details

NPI number 1659404325
LBN Legal business name Pham, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Oct 25th, 2007 - about 17 years ago

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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