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

Noel Phan

Individual provider Otolaryngology Physician · NPI 1396241311

Noel Phan is an Otolaryngology in New York, New York. Qualified in 2018, 8 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
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Practice location Address checks out

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone: (212) 241-2258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2601 W Main St, Carbondale, IL 62901-1031 — (618) 351-7300
  • 2601 W Main St, Carbondale, IL 62901-1031 — (618) 549-5361

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 036167821 (IL)

Record details

NPI number1396241311
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2018
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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