Individual
DR. KEVIN JOHN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3871 N PERRYVILLE RD, ROCKFORD, IL 61114-8080
(815) 397-5554
Mailing address
1158 HANCOCK ST, CAROL STREAM, IL 60188-1388
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.166800
IL
2085R0204X
Vascular & Interventional Radiology Physician
036.166800
IL
Other
Enumeration date
06/19/2018
Last updated
12/04/2023
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