NPI 1023308483

Jubilee Phan, MD

Practitioner Urology Physician Peoria, IL

Practice location

Address: 1001 Main St STE 400, Peoria, IL 61606-2036
Phone: (309) 308-0920
Fax: (309) 308-0930

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 036146849 (IL)

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Registry record

NPI: 1023308483
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2011
Record last updated: 2 Jul 2026

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.