Jubilee Phan, M.D.

NPI #1023308483 in Peoria, Illinois

Provider Information

NPI Number: 1023308483
Entity Type: Individual
Name: Jubilee Phan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Apr 19, 2011
Last Updated: Oct 5, 2018

Practice Location

Address: 1001 MAIN ST STE 400
City: Peoria
State: Illinois
ZIP Code: 61606-2036
Phone: (309) 308-0920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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