NPI
Justin Hung Pham
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2006-05-17
- Last updated
- 2026-01-13
Specialties
Licenses
- License TX
- P3059
- License RI
- MD16575
- License IL
- 036120081
- License MS
- 21973
- License CA
- A72116
- License NM
- MD2007-0239
Location
- Practice location
- 8201 E Riverside Blvd
- City
- Rockford IL
- Postal code
- 61114-2300
- Phone
- (815) 971-7000
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Rockford, IL. 5,002 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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