Tina Phan, D.O.
Family Medicine · Berwyn, IL
UnclaimedD.O.NPI 1912267147
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2012-05-22
- Practice location
- Berwyn, IL
- Last NPPES update
- 2016-09-20
State licenses
- IL · Osteopathic physician · LICENSED PHYSICIAN AND SURGEONInactivethrough 2017
- IL · Resident physician · TEMPORARY MEDICAL PERMITInactivethrough 2015
- TX · Osteopathic physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.