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

Tina Phan, DO

Individual provider Family Medicine Physician · NPI 1912267147

Tina Phan, DO is a Family Medicine Physician in Berwyn, Illinois. Licensed in Illinois and Texas. Registered with an NPI since 2012.

Licensed in
IL, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3231 Euclid Ave Fl 5
Berwyn, IL 60402-4603
Phone: (708) 783-2000
Fax: (708) 783-3656
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125-061857 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence Q9476 (TX)

Record details

NPI number1912267147
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 22, 2012
Last updated in NPPESSeptember 20, 2016
Mailing address3231 Euclid Ave Fl 5, Berwyn, IL 60402-4603

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