Pham, Suzanne Thi

Pham, Suzanne Thi is an individual health care provider with primary practice located at 701 W North Ave , Melrose Park IL 60160-1612. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Pham, Suzanne Thi can be contacted via phone (708) 681-3200.

Contact Information

Primary practice address
701 W North Ave Melrose Park IL 60160-1612
Phone: (708) 681-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125-049355 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125-049355 Illinois

Profile Details

NPI number 1659537298
LBN Legal business name Pham, Suzanne Thi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated Dec 27th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659537298 NPPES
Illinois MEDICAID 036123286

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