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

Miss. Jun Phan, RDN, LDN

Individual provider Registered Dietitian · NPI 1003435868

Miss. Jun Phan, RDN, LDN is a Registered Dietitian OR Nutrition Professional in Chicago, Illinois. Qualified in 2016, 10 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2020
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone: (773) 975-6802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164007244 (IL)

Record details

NPI number1003435868
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LDN
Sole proprietorNo
NPI enumeratedApril 13, 2020
Last updated in NPPESApril 16, 2020
Certification dateApril 16, 2020
Mailing address850 W Irving Park Rd, Chicago, IL 60613-3077

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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