KEVIN MCDONOUGH APN NPI 1679097380

NPI Information

NPI: 1679097380
Provider Name: KEVIN MCDONOUGH, APN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612
Phone: (312) 942-5693
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Kevin Mcdonough, APN is an acute care nurse practitioner in Chicago, IL with 7 years of experience. Kevin Mcdonough, APN NPI is 1679097380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1653 W CONGRESS PKWY
CHICAGO, IL
ZIP 60612-833
Phone: (312) 942-5693

The NPI 1679097380 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 8/3/2017 and was last updated on 8/3/2017.

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
1	363LA2100X	Nurse Practitioner	Acute Care	209016226	ILLINOIS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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