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Mary Pham
Diagnostic Radiology Physician in Peoria, Illinois
NPI 1659404325

Mary Pham is a Diagnostic Radiology Physician based in Mequon, IL and is specialized in Diagnostic Radiology. Mary Pham practices in Peoria, IL. The NPI Number for Mary Pham is 1659404325 and holds a License No. (Illinois).

The current practice location address for Mary Pham is 401 Sw Water St, Peoria, IL and can be reached out via phone at 309-494-9320.

Location: 401 Sw Water St, Peoria, IL, 53092-5763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659404325
Provider Name
Mary Pham
Credential
Provider Entity Type
Individual
Gender
Female
Address
401 Sw Water St, Peoria, IL, 53092-5763
Phone Number
309-494-9320
Fax Number
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
401 Sw Water St
City
Peoria
State
Illinois
Zip
61602-1571
Phone Number
309-494-9320
Fax Number
person
Provider Business Mailing Address Details
Address
401 Sw Water St
City
Peoria
State
Illinois
Zip
61602-1571
Phone Number
309-494-9320
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
(Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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