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

Dr. Jack M Pham, DNP, APRNFPA, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1427566454

Dr. Jack M Pham, DNP, APRNFPA, FNP-BC is a Nurse Practitioner in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2018
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4947 N Winthrop Ave
Chicago, IL 60640-3607
Phone: (773) 455-4325
Fax: (773) 838-0902
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209027448 (IL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 209027448 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209027448 (IL)

Record details

NPI number1427566454
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , APRNFPA , FNP-BC
Sole proprietorYes
NPI enumeratedJanuary 11, 2018
Last updated in NPPESMay 17, 2026
Certification dateMay 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Chicago