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Search › Illinois › 207R00000X

Phivu Nguyen, DO

NPI 1609369487 · on the registry since 2018

Practice

Address
350 N Wall St
Kankakee, IL 60901
Phone
(815) 928-6274
Organisation at this address
Pain Care Center Pc
Epmg Of Illinois Llc
Riverside Medical Center
Riverside Medical Center
Riverside Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
122

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-04-07

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