Search › Illinois › 2085R0202X
Mary Pham
NPI 1659404325 · on the registry since 2007
Practice
- Address
- 401 Sw Water St
Suite 507
Peoria, IL 61602 - Phone
- (309) 494-9320
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-10-25
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