Quang Thien Phan

Pharmacist · Waukegan, IL

Individual Active NPI

NPI number 1790398774

Practice location

1811 Belvidere Rd
Waukegan, IL 60085-7221
Phone
(847) 244-7550

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NPI record

NPI
1790398774
Entity type
Individual (Type 1)
Enumeration date
August 28, 2020
Last updated
August 28, 2020
Certified
August 27, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051302650 IL

About Quang Phan

Quang Thien Phan is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1811 Belvidere Rd, Waukegan, IL 60085-7221. The NPI number 1790398774 was assigned on August 28, 2020 and the record was last updated on August 28, 2020.

Quang Phan lists a license in the registry: #051302650 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Quang Thien Phan?

The NPI number is 1790398774.

What is the phone number of Quang Phan?

The phone number listed for the practice location is (847) 244-7550.

Where is Quang Phan located?

1811 Belvidere Rd, Waukegan, IL 60085-7221.

What is the taxonomy code for Quang Phan?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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