Daniel H Pham, Llc.

NPI #1528100880 in Rockford, Illinois

Provider Information

NPI Number: 1528100880
Entity Type: Organization
Organization Name: Daniel H Pham, Llc.
Primary Specialty: Optometrist
Enumeration Date: Feb 13, 2007
Last Updated: Aug 8, 2014

Practice Location

Address: 3849 NORTHRIDGE DR
City: Rockford
State: Illinois
ZIP Code: 61114-4773
Phone: (815) 636-0440

Authorized Official

Name: DR. DANIEL PHAM
Title: PRESIDENT
Phone: (312) 848-2181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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