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Contact Information

CHI LAN PHAM, DDS
2062 N MILWAUKEE AVE
CHICAGO, IL60647
 Phone: 773-384-3500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for CHI LAN PHAM · (Female)

NPI Number 1003264821
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/02/2016
Last updated 07/20/2018 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 019.031604
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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