DR. KEVIN JOHN NGUYEN MD NPI 1114411584

NPI Information

  • NPI: 1114411584
  • Provider Name: DR. KEVIN JOHN NGUYEN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3871 N PERRYVILLE RD
    ROCKFORD, IL
    ZIP 61114
  • Phone: (815) 397-5554

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NPI Details

DR. Kevin John Nguyen, MD is a diagnostic radiology radiology in Rockford, IL with 8 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Kevin John Nguyen, MD NPI is 1114411584. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

3871 N PERRYVILLE RD
ROCKFORD, IL
ZIP 61114-080
Phone: (815) 397-5554

The NPI 1114411584 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2018 and was last updated on 12/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional Radiology036.166800ILLINOISNo
22085R0202XRadiologyDiagnostic Radiology036.166800ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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