ANTHONY VINH PHAN

URBANA, IL
NPI1245760438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125.070903)
Enumeration Date2017-06-19
Last Update Date2017-06-19
Business Address
Dr. ANTHONY VINH PHAN DO
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-326-1297
Mailing Address
Dr. ANTHONY VINH PHAN DO
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-326-1297