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

Phivu Nguyen, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609369487

Phivu Nguyen, DO is a Student in an Organized Health Care Education/Training Program in Kankakee, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

350 N Wall St
Kankakee, IL 60901-2991
Phone: (815) 928-6274
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036.157230 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1609369487
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 7, 2018
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022
Mailing addressRiverside Medical Center, 350 N Wall St, Kankakee, IL 60901

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