Individual
DANI HOANG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, CAQ-PSYCH
Contact information
Practice address
119 S WESTERN AVE UNIT 1, CHICAGO, IL 60612-4644
(312) 625-0110
Mailing address
119 S WESTERN AVE UNIT 1, #165, CHICAGO, IL 60612-4644
(312) 625-0110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.008656
IL
363AM0700X
Medical Physician Assistant
Primary
085.008656
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2021
Last updated
06/16/2026
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