Individual provider · Type 1 NPI

Tracy Diem Trang Pham, MD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1740084847 Active

Practice location

5841 S Maryland Ave # 5068
Chicago, IL 60637-1443

Fax (773) 702-3135

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740084847

Tracy Diem Trang Pham, MD's National Provider Identifier is 1740084847, issued on Apr 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Apr 1, 2025.