NPI 1003435868

Jun Phan, RDNLDN

Practitioner Registered Dietitian Chicago, IL

Practice location

Address: 850 W Irving Park Rd, Chicago, IL 60613-3077
Phone: (773) 975-6802

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 164007244 (IL)

Other Dietitian, Registered providers in Illinois →

Registry record

NPI: 1003435868
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2020
Record last updated: 16 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.