Provider Demographics
NPI:1326054669
Name:PHAM, DUC THINH (MD)
Entity Type:Individual
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First Name:DUC THINH
Middle Name:
Last Name:PHAM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:680 N LAKE SHORE DR
Mailing Address - Street 2:SUITE#1000
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4546
Mailing Address - Country:US
Mailing Address - Phone:312-695-9797
Mailing Address - Fax:
Practice Address - Street 1:675 N. ST.CLAIR ST
Practice Address - Street 2:19-100
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5969
Practice Address - Country:US
Practice Address - Phone:312-664-3278
Practice Address - Fax:312-695-1903
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2017-05-08
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Provider Licenses
StateLicense IDTaxonomies
IL036114257208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)