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Michelle Quynh Dao Phan, MD
Pediatrics Physician in Chicago, Illinois
NPI 1417311374

Michelle Quynh Dao Phan is a Pediatrics Physician based in Chicago, IL. Michelle Quynh Dao Phan practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Michelle Quynh Dao Phan is 1417311374 and holds a License No. MD468228 (Illinois).

The current practice location address for Michelle Quynh Dao Phan is 845 W Wilson Ave, Chicago, IL and can be reached out via phone at 773-506-4283 and via fax at 773-506-4847.

Location: 845 W Wilson Ave, Chicago, IL, 60657-6710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417311374
Provider Name
Michelle Quynh Dao Phan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
845 W Wilson Ave, Chicago, IL, 60657-6710
Phone Number
773-506-4283
Fax Number
773-506-4847
Provider Enumeration Date
04/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036150664 05 IL
institution
Provider Business Practice Location Address Details
Address
845 W Wilson Ave
City
Chicago
State
Illinois
Zip
60640-8090
Phone Number
773-506-4283
Fax Number
773-506-4847
person
Provider Business Mailing Address Details
Address
845 W Wilson Ave
City
Chicago
State
Illinois
Zip
60640-8090
Phone Number
773-506-4283
Fax Number
773-506-4847
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
A163063 (California)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD468228 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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