Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathan Bounyong, DO

Individual provider Family Medicine Physician · NPI 1114580115

Nathan Bounyong, DO is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5145 N California Ave
Chicago, IL 60625-3687
Phone: (773) 989-3808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.161773 (IL)

Record details

NPI number1114580115
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 16, 2019
Last updated in NPPESSeptember 7, 2022
Certification dateAugust 3, 2022
Mailing address5145 N California Ave, Chicago, IL 60625-3687

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