Healthcare Provider Details

I. General information

NPI: 1346441656
Provider Name (Legal Business Name): KATRINA SKOOG NGUYEN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S. WASHINGTON ST. EMERGENCY MEDICINE
NAPERVILE IL
60540-7430
US

IV. Provider business mailing address

2650 RIDGE AVE. 1223
EVANSTON IL
60201-1718
US

V. Phone/Fax

Practice location:
  • Phone: 630-527-3000
  • Fax: 630-527-3371
Mailing address:
  • Phone: 847-570-2040
  • Fax: 847-733-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036132233
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberUO2489
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: