DR. Jack M Pham, DNP, APRN, FNP-BC is a family nurse practitioner in Chicago, IL with 2 years of experience. DR. Jack M Pham, DNP, APRN, FNP-BC NPI is 1427566454. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4947 N WINTHROP AVE
CHICAGO, IL
ZIP 60640-607
Phone: (773) 455-4325
Fax: (773) 838-0902
The NPI 1427566454 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 14D2282593 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/11/2018 and was last updated on 3/5/2024.