# DR. PETER NGUYEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649653494
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | 4301115622 | MI | — |
| 208000000X | Pediatrics Physician | 125067744 | IL | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | 036-172737 | IL | Yes |

## Other

- **Enumeration date:** 06/29/2015
- **Last updated:** 04/18/2025