DR. KEVIN JOHN NGUYEN (NPI# 1114411584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114411584 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JOHN NGUYEN |
| Credential | MD |
| Practice Address |
355 Ridge Ave Evanston IL 60202-3328 |
| Mailing Address |
1158 Hancock St Carol Stream IL 60188-1388 |
| Practice Telephone | 8473164000 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
| 1851907380 | Kevin Thanh Nguyen | Dentist | 17742 Beach Blvd Ste 350, Huntington Beach, CA 92647-6854 | 2020-09-21 |
| 1902420912 | Kevin Dathien Nguyen | Physician Assistant | 705 Pearl St, San Gabriel, CA 91776-2619 | 2020-06-05 |
| 1164989067 | Kevin Nguyen | Behavior Technician | 3303 Harbor Blvd, Costa Mesa Ca 92626, Suite B8, Costa Mesa, CA 92626 | 2019-02-27 |
| 1962855395 | Kevin Nguyen | Student in an Organized Health Care Education/Training Program | 1116 Garden Laurel Dr, Murphy, TX 75094-4162 | 2016-07-20 |
| 1518203835 | Kevin Nguyen | Pharmacist | 12862 Lemonwood Ln, Garden Grove, CA 92840-5521 | 2012-12-13 |
| 1386924405 | Kevin Hai Nguyen | Chiropractor | 2060 W Whispering Wind Dr # 264-2, Phoenix, AZ 85085-2867 | 2011-08-20 |
| 1558660704 | Kevin Khang Nguyen | Student in an Organized Health Care Education/Training Program | 2909 Ventura Dr, Santa Barbara, CA 93105-3012 | 2011-03-26 |
| 1124332796 | Kevin Hung Nguyen | Dentist | 536 S Fm 156, Justin, TX 76247-4600 | 2010-08-05 |
| 1306173273 | Kevin Khoi Nguyen | Pharmacist | 3732 W Northwest Highway, Dallas, TX 75220 | 2009-11-12 |
| Street Address |
355 RIDGE AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380820 | James Douglas Glass | Anesthesiology | 355 Ridge Ave, Evanston, IL 60202-3328 | 2005-07-20 |
| 1710588496 | Paritosh Prasai | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-11-08 |
| 1750989653 | Emre Can Ozcekirdek | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-10-13 |
| 1689288664 | Bidhya Poudel | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-07 |
| 1578177614 | Pankaj Luitel | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3399 | 2020-09-05 |
| 1184238289 | Qishuo Zhang | Internal Medicine | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-04 |
| 1184238297 | Kritika Yadav | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-04 |
| 1205440427 | Bimatshu Pyakuryal | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3399 | 2020-09-04 |
| 1689288904 | Arjab Adhikari | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-03 |
| 1205449014 | Rameej Revanta Thapa | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934495 | Jane Burstein | Student in an Organized Health Care Education/Training Program | 962 Dobson St Apt 2, Evanston, IL 60202-3847 | 2020-08-26 |
| 1902424054 | Sydney Sterling Tardrew | Student in an Organized Health Care Education/Training Program | 1106 Crain St Apt 3, Evanston, IL 60202-4225 | 2020-07-06 |
| 1346864956 | Rachel C Hofmaier | Student in an Organized Health Care Education/Training Program | 2506 Payne St, Evanston, IL 60201-2131 | 2020-05-31 |
| 1275190316 | Grace Zhang | Student in an Organized Health Care Education/Training Program | 1800 Ridge Ave, Evanston, IL 60201-3696 | 2019-05-23 |
| 1699260323 | Aldo Morante | Student in an Organized Health Care Education/Training Program | 855 Hinman Ave Apt 304, Evanston, IL 60202-2346 | 2018-06-25 |
| 1831683291 | Mariam Charkviani | Student in an Organized Health Care Education/Training Program | 832 Seward St Apt I2, Evanston, IL 60202-5323 | 2018-06-19 |
| 1639668833 | Zachary Tyler Laidley | Student in an Organized Health Care Education/Training Program | 800 Washington St Apt 2, Evanston, IL 60202-4350 | 2018-05-03 |
| 1063824027 | Ghazaleh Rostami Nia | Student in an Organized Health Care Education/Training Program | 2650 Ridge Avenue Walgreen Building, Suite 1507, Evanston, IL 60201 | 2014-05-27 |
| 1457413940 | Curt M. Horvath | Student in an Organized Health Care Education/Training Program | 2200 Campus Dr, Suite 4401, Enh Life Sciences, Evanston, IL 60208-0892 | 2006-12-14 |
| 1710588496 | Paritosh Prasai | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-11-08 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.