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Jun Phan , RDN, LDN

Dietitian, Registered β€’ Chicago, IL

Active NPI 1003435868 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

850 W Irving Park Rd
Chicago, IL 606133077

Call 7739756802 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

850 W Irving Park Rd

Chicago, IL 606133077

Telephone 7739756802
Organization at the Same NPPES Address or Phone
Monique A Anawis Md Pc Facility NPI 1184677643

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Endeavor Health Medical Group. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jun Phan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Chicago and Illinois

953 active clinicians are listed under Dietitian, Registered with a practice address in Chicago, IL (2,908 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

3.4% of these 953 clinicians have the CMS telehealth indicator.

5.5% of these 953 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-04-16
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES IL 164007244

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20200814000093

Enrollment State Jurisdiction

IL

PECOS Control ID

6709202294

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Endeavor Health Medical Group

9977 Woods Dr 2nd Floor, Skokie, IL 600771057

Phone: 8476638370

Endeavor Health Medical Group

9977 Woods Dr, Skokie, IL 600771057

Phone: 8476638370

Endeavor Health Medical Group

9977 Woods Dr, Skokie, IL 600771057

Phone: 8476638062

Endeavor Health Medical Group

4901 Searle Pkwy, Skokie, IL 600771057

Endeavor Health Medical Group

2650 Ridge Ave, Evanston, IL 602011700

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

22 listed
Bukola Adeagbo

Nurse Practitioner - Psychiatric/Mental Health

NPI 1124670948
Dr. Amy Allegretti , MD

Emergency Medicine

NPI 1033193883

Doctor of Medicine (M.D.)

NPI 1396794079

Doctor of Medicine (M.D.)

Kimberly Bohac

Nurse Practitioner

NPI 1871128686
Raymond Bryant , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1609354133

Nurse Practitioner

Dr. Manjeet Chawla , MD

Internal Medicine - Hematology & Oncology

NPI 1902910425

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated April 13, 2020.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from May 2020 to November 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1003435868
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2020
Last Update: April 16, 2020
Sole Proprietor: No

Other Dietitian, Registereds in Chicago

All Dietitian, Registereds in Chicago

Mailing Address

850 W Irving Park Rd

Chicago, IL 606133077

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.