SearchIllinois171R00000X

Pheap Chhorm

NPI 1477442226 · on the registry since 2025 · sole proprietor

Practice

Address
1423 Hoffman Ave
Park Ridge, IL 60068
Phone
(773) 750-3285

Registry record

Primary taxonomy
171R00000X
171R00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois