Phan, Jubilee

Phan, Jubilee is an individual health care provider with primary practice located at 1001 Main St Ste 400 , Peoria IL 61606-2036. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Phan, Jubilee can be contacted via phone (309) 308-0920.

Contact Information

Primary practice address
1001 Main St Ste 400 Peoria IL 61606-2036
Phone: (309) 308-0920
Fax: (309) 308-0930
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 32178 Alabama
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X 036146849 Illinois

Profile Details

NPI number 1023308483
LBN Legal business name Phan, Jubilee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2011
Last updated Oct 5th, 2018 - about 6 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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