Tony Pham is a Driver based in East Peoria, IL. Tony Pham practices in East Peoria, IL. The NPI Number for Tony Pham is 1134721962 and holds a License No. (Illinois).
The current practice location address for Tony Pham is 2250 E Washington St, East Peoria, IL and can be reached out via phone at 309-643-1112.
Location: 2250 E Washington St, East Peoria, IL, 61611-3021
Provider Profile Details
NPI Number
1134721962
Provider Name
Tony Pham
Credential
Provider Entity Type
Individual
Gender
Male
Address
2250 E Washington St, East Peoria, IL, 61611-3021
Phone Number
309-643-1112
Fax Number
Provider Enumeration Date
11/16/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
2250 E Washington St
City
State
Zip
61611-3021
Phone Number
309-643-1112
Fax Number
Provider Business Mailing Address Details
Address
2250 E Washington St
City
State
Zip
61611-3021
Phone Number
309-643-1112
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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