Most Relevant Information
Provider Data
| NPI Number: | 1003278151 |
| Provider Name: | AMY PHAM D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 2080N0001X |
| Specialty: | Pediatrics |
| License Number: | 036148381 |
Most Important Dates
| Enumeration Date: | 03/27/2016 |
| Last Updated: | 11/21/2022 |
Provider Practice Location
1740 W TAYLOR ST
CHICAGO
IL
606127232
Practice Location Phone/Fax
| Phone: | 8666002273 |
| Fax: |
Provider Mailing Location
840 S WOOD ST
CHICAGO
IL
606124325
Provider Mailing Phone/Fax
| Phone: | 7144584668 |
| Fax: |