Michelle Quynh Dao Phan
M.D. | Pediatrics | Female
Michelle Quynh Dao Phan, M.D. is a Chicago, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Michelle Quynh Dao Phan is
845 W Wilson Ave, Chicago, Illinois - 60640-8090. She can be contacted on phone at
773-506-4283 and fax number 773-506-4847.
Michelle Quynh Dao Phan is a sole proprietor of her business.
NPI number (Unique professional ID) for Michelle Quynh Dao Phan is
1417311374 which was assigned by NPPES on 07 Apr, 2016 and it was last updated on 07 Apr, 2020.
Michelle Quynh Dao Phan license number is
036.150664 for Pediatrics (208000000X) in Illinois.
Michelle Quynh Dao Phan is a pediatrician who 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.
Complete Profile:
Michelle Quynh Dao Phan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Michelle Quynh Dao Phan |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Michelle Quynh Dao Phan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 845 W Wilson Ave
Chicago, IL, 60640-8090
United States |
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| Phone Number : | 773-506-4283 |
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| Fax Number : | 773-506-4847 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1417311374 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Apr, 2016 |
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| Last Updated On : | 07 Apr, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michelle Quynh Dao Phan are as mentioned. Primary taxonomy code for Michelle Quynh Dao Phan, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036.150664 | IL |
| 208000000X | Pediatrics | No | 35.136445 | OH |
| 208000000X | Pediatrics | No | A163063 | CA |
| 208000000X | Pediatrics | No | MD468228 | PA |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
Legacy Identifiers:
Other legacy medical identifiers of Michelle Quynh Dao Phan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036150664 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3048 N Wilton Ave Ste 2
Chicago, IL, 60657-6710
United States |
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| Phone Number : | 773-506-4283 |
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| Fax Number : | 773-506-4847 |
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Business Location:
Patients can refer following map for directions to
Michelle Quynh Dao Phan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.