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

Jennifer Phan

Individual provider Psychiatry Physician · NPI 1376003509

Jennifer Phan is a Psychiatry in Chicago, Illinois. Graduated from Texas Tech University Health Science Center School of Medicine in 2019, 7 years ago. Practices with Optum Behavioral Care of Colorado PC, a 197-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
7
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
IL
In the registry since
2019
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Practice location Address checks out

4753 N Broadway St Ste 403
Chicago, IL 60640-7910
Phone: (773) 989-2780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036.164537 (IL)

Record details

NPI number1376003509
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Optum Behavioral Care Of Colorado Pc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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