TINA PHAN D.O.
NPI 1912267147
Family Medicine in Berwyn, IL

Active since May 22, 2012
3231 EUCLID AVE FL 5, BERWYN, IL 60402(708) 783-2000(708) 783-3656 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tina Phan D.o. NPPES

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

TINA PHAN D.O. (NPI 1912267147) is an individual family medicine provider in Berwyn, Illinois, licensed in Illinois (125-061857) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1912267147
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTINA PHANCredential: D.O.
Location Address3231 EUCLID AVE FL 5Berwyn, IL 60402-4603
Mailing Address3231 Euclid Ave Fl 5Berwyn, IL 60402-4603 · (708) 783-2000 · Fax (708) 783-3656
Fax(708) 783-3656
Sole ProprietorNo
Enumeration DateMay 22, 2012
Last NPPES UpdateSeptember 20, 2016
NPI 1912267147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IL · 125-061857 Licensed in TX · Q9476
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3231 EUCLID AVE FL 5, Berwyn, IL 60402

Other Providers at the Same Location NPPES 13

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

Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Student in an Organized Health Care Education/Training Program
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Family Medicine (Sports Medicine)
3231 EUCLID AVE FL 5
BERWYN, IL 60402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912267147, enumerated as an "individual" on May 22, 2012.

The provider is located at 3231 EUCLID AVE FL 5 BERWYN, IL 60402 and the phone number is (708) 783-2000.

Family Medicine with taxonomy code 207Q00000X.