Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nicholas Pham, PA

Individual provider Physician Assistant · NPI 1679471015

Nicholas Pham, PA is a Physician Assistant in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1135 W Chicago Ave Apt 2E
Chicago, IL 60642-5796
Phone: (832) 876-3541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1679471015
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 27, 2026
Last updated in NPPESOctober 27, 2026
Certification dateOctober 27, 2026

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