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NPI Code Detail

MEDICARE: ANH NGUYEN DNP

MEDICARE: ANH NGUYEN DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse041.441397IL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner277003421IL

General Provider Information

NPI Number : 1508437484
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANH NGUYEN DNP
Provider Business Mailing Address
First Line : 1203 W AUGUSTA BLVD STE 1
Second Line :
City : CHICAGO
State : IL
Zip : 60642-4327
Country : US
Telephone Number : 129-676-3953
Fax Number :
Provider Business Practice Location Address
First Line : 1203 W AUGUSTA BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60642-4327
Country : US
Telephone Number : 312-967-6395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2021
Last Update Date : 02/04/2026

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