MARY PHAM
NPI 1659404325
Radiology - Diagnostic Radiology in Peoria, IL

Q: What is Mary Pham's NPI number?

The NPI number for Mary Pham is 1659404325. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Q: What is Mary Pham's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Mary Pham was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 13, 2007

401 SW WATER ST, SUITE 507, PEORIA, IL 61602(309) 494-9320 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mary Pham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY PHAM (NPI 1659404325) is an individual diagnostic radiology provider in Peoria, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1659404325

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameMARY PHAM

Location Address401 SW WATER ST, SUITE 507Peoria, IL 61602-1571

Mailing Address10335 N Port Washington Rd, 250Mequon, WI 53092-5763

Phone(309) 494-9320

Sole ProprietorNo

Enumeration DateMarch 13, 2007

Last NPPES UpdateOctober 25, 2007

✔ NPI 1659404325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

401 SW WATER ST, Peoria, IL 61602

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF91760

Medicare PINL79537IL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAWRENCE C WANG MD

Radiology (Diagnostic Radiology)

401 SW WATER ST, 1824
PEORIA, IL 61602

Peoria County (309) 494-9320

ROBERT T BOCKEL MD

Radiology (Diagnostic Radiology)

401 SW WATER ST, SUITE 507
PEORIA, IL 61602

Peoria County (309) 494-9320

MS. KIM V. ARELLANO-VILLARREAL M.D.

Radiology (Diagnostic Radiology)

401 SW WATER ST
PEORIA, IL 61602

Peoria County (309) 494-9320

GERALD DIXON

Radiology (Diagnostic Radiology)

401 SW WATER ST
PEORIA, IL 61602

Peoria County (309) 494-9320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Pham's NPI number?

The NPI number for Mary Pham is 1659404325. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Mary Pham located?

Mary Pham practices at 401 SW Water St Suite 507, Peoria, IL 61602. The listed phone number is (309) 494-9320.

What is Mary Pham's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Mary Pham was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.