Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anthony Pham, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093452112

Anthony Pham, MD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone: (773) 257-5914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 646 S Rue Marcel, Gretna, LA 70056-8203 — (504) 289-5784

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125.079423 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093452112
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2022
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023

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