Search › Illinois › 363L00000X
Tien Pham, APN, CNP
NPI 1912473273 · on the registry since 2018 · sole proprietor
Practice
- Address
- 5405 N Knoxville Ave
Peoria, IL 61614 - Phone
- (309) 589-2050
- Fax
- (309) 692-4730
- Organisation at this address
- Cardiosom, Llc
Osf Healthcare System
Heartcare Midwest , Ltd
Osf Heart & Vascular InstituteInferred from a shared address, not stated in the registry. - Clinicians at this address
- 47
Additional practice sites
- 1127 W Glen Ave, Peoria, IL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois