Dr. Jack M Pham, DNP, APRNFPA, FNP-BC
Dr. Jack M Pham, DNP, APRNFPA, FNP-BC is a Nurse Practitioner in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Illinois.
- Years since qualifying
- 4
- Licensed in
- IL
- In the registry since
- 2018
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
4947 N Winthrop AveChicago, IL 60640-3607
Phone: (773) 455-4325
Fax: (773) 838-0902
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 277005652 (IL) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 277005652 (IL) |
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence 277005652 (IL) |
Record details
| NPI number | 1427566454 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DNP , APRNFPA , FNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | January 11, 2018 |
| Last updated in NPPES | September 20, 2026 |
| Certification date | September 20, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Medicare patients and services, 2024
| Medicare patients | 112 |
|---|---|
| Services billed | 1,540 |
| Average patient age | 77 |
Payments from drug and device companies, 2025
| Food and Beverage | $166 |
|---|
Practises at
- Swedish Hospital Hospital · Chicago, IL · listed as Swedish Covenant Hospital
- Northwestern Medicine Central Dupage Hospital Hospital · Winfield, IL
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