Phuong Nhu Thi Pham · Physician Assistant

10258 Southwest Hwy Ste A, Chicago Ridge, IL 60415-1361

Overview

Phuong Nhu Thi Pham is a Physician Assistant practicing in Chicago Ridge, Illinois. The National Provider Identifier (NPI) is #1588454516, which was assigned on May 12, 2025, and the registration record was last updated on May 12, 2025. The practitioner's main practice location is at 10258 Southwest Hwy Ste A, Chicago Ridge, IL 60415-1361; the contact telephone number is 7083469533. The primary taxonomy of Phuong Nhu Thi Pham is Physician Assistant (363A00000X). Phuong Nhu Thi Pham is licensed to practice in the state of Illinois (#085011147).

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1588454516
Entity Type Individual
Provider Name PHUONG NHU THI PHAM
Gender Female
Credential PA-C
Practice Address 10258 Southwest Hwy Ste A
Chicago Ridge
IL 60415-1361
Practice Telephone 7083469533
Mailing Address 10258 Southwest Hwy Ste A
Chicago Ridge
IL 60415-1361
Mailing Telephone 7083469533
Certification Date 2025-05-12
Enumeration Date 2025-05-12
Last Update Date 2025-05-12
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 5395253371
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name PHUONG NHU THI PHAM
Primary Specialty PHYSICIAN ASSISTANT
Address 10258 Southwest Hwy
Suite A
Chicago Ridge
IL 60415

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician Assistant085011147IL

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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Location Information

Street Address 10258 SOUTHWEST HWY STE A
City CHICAGO RIDGE
State IL
Zip Code 60415-1361
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Ronak Patel 10258 Southwest Hwy Ste A, Chicago Ridge, IL 60415-1361Vascular Surgery Physician2017-03-27
Martin Ira Ellenby 10258 Southwest Hwy Ste A, Chicago Ridge, IL 60415-1361Surgery Physician2005-07-22

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Eun Kyu Dong 10258 Southwest Hwy # A, Chicago Ridge, IL 60415-1361Vascular Surgery Physician2018-03-19
Aliaksandra Yep 10258 Southwest Hwy # A, Chicago Ridge, IL 60415-1361Nurse Practitioner2025-03-31

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Valerie Anne Walter 10400 Southwest Hwy, Chicago Ridge, IL 60415-1367Physical Therapist2025-05-29
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.