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

Phithao J Nguyen, DOFAAFP

Individual provider Gastroenterology Physician · NPI 1740261585

Phithao J Nguyen, DOFAAFP is a Gastroenterology in Park Ridge, Illinois. Qualified in 1998, 28 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
28
Licensed in
IL
In the registry since
2005

Practice location Address checks out

711 W Devon Ave
Park Ridge, IL 60068-4713
Phone: (847) 696-3176
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 036110939 (IL)

Record details

NPI number1740261585
Entity typeIndividual (Type 1)
GenderFemale
Credentials DOFAAFP
Sole proprietorNo
NPI enumeratedNovember 9, 2005
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Prime Healthcare Illinois Medical Group Llc — 281 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Park Ridge