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Contact Information

DAVID PHAN, OD
1753 E 95TH ST STE B-100
CHICAGO, IL60617
 Phone: 773-364-4938
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DAVID PHAN · (Male)

NPI Number 1972099307
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/09/2018
Last updated 07/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 046.011205
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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