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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: August 16, 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
Phone(708) 783-2000
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
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Other Providers at the Same Location NPPES 15

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

RACHEL L ECKELKAMP DO
Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Cook County (877) 834-7264
CHRISTOPHER BABIUCH MD
Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Cook County (708) 783-3347
DR. TAMAJAH MARIE JORDAN M.D.
Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Cook County (708) 783-2000
DR. ALEJANDRO GONZALEZ M.D.
Family Medicine (Sports Medicine)
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Cook County (708) 783-2000
EDWARD FOLEY MD
Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Cook County (708) 783-2000
GENEVIEVE WONG M.D.
Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Cook County (708) 783-2000
DR. HARSHIL MATTA DO
Family Medicine (Sports Medicine)
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Cook County (708) 783-2000
CHRISTOPHER GOZALI
Family Medicine (Sports Medicine)
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Cook County (708) 783-2000

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 Tina Phan's NPI number?

The NPI number for Tina Phan is 1912267147. It was assigned to this individual provider in the NPPES registry on May 22, 2012.

Where is Tina Phan located?

Tina Phan practices at 3231 Euclid Ave Fl 5, Berwyn, IL 60402. The listed phone number is (708) 783-2000.

What is Tina Phan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tina Phan was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.