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

Quang Thien Phan

Individual provider Pharmacist · NPI 1790398774

Quang Thien Phan is a Pharmacist in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020

Practice location Address checks out

1811 Belvidere Rd
Waukegan, IL 60085-7221
Phone: (847) 244-7550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051302650 (IL)

Record details

NPI number1790398774
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 27, 2020
Mailing address1811 Belvidere Rd, Waukegan, IL 60085-7221

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