Mary Pham
Mary Pham is a Diagnostic Radiology Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
401 SW Water St Ste 507Peoria, IL 61602-1571
Phone: (309) 494-9320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X (IL) |
|---|
Record details
| NPI number | 1659404325 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 13, 2007 |
| Last updated in NPPES | October 25, 2007 |
| Mailing address | 10335 N Port Washington Rd, 250, Mequon, WI 53092-5763 |
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