Individual
FRANK NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
720 FLORSHEIM DR, LIBERTYVILLE, IL 60048-3757
(847) 247-4000
(847) 234-2090
Mailing address
250 S NORTHWEST HWY STE 200, PARK RIDGE, IL 60068-4252
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-012016
IL
363A00000X
Physician Assistant
Primary
59252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1172142
NCCPA
—
01
—
59252
PHYSICIAN ASSISTANT BOARD
CA
Enumeration date
04/19/2021
Last updated
04/30/2026
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