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NPI Code Detail

MEDICARE: DR. DAVID PHILLIP NGUYEN D.O.

MEDICARE: DR. DAVID PHILLIP NGUYEN D.O.
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
1207P00000XEmergency Medicine PhysicianUO2108FL
2207P00000XEmergency Medicine Physician66877GA
3207P00000XEmergency Medicine Physician20A14048CA
4207P00000XEmergency Medicine Physician036.132627IL

General Provider Information

NPI Number : 1922233279
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID PHILLIP NGUYEN D.O.
Provider Business Mailing Address
First Line : 443 COLFAX AVE
Second Line :
City : CLARENDON HILLS
State : IL
Zip : 60514-2703
Country : US
Telephone Number : 317-213-9890
Fax Number :
Provider Business Practice Location Address
First Line : 2000 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-5893
Country : US
Telephone Number : 630-978-4810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2009
Last Update Date : 03/22/2019

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