Kristina Nguyen
Occupational Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1104580885
StatusActive
Last updated in NPPESOct 28, 2021
Details
- NPI
- 1104580885
- Entity type
- Individual (NPI-1)
- Name
- Kristina Nguyen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2021
- Certification date
- Oct 28, 2021
- Last updated
- Oct 28, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 056-014450 | IL | Yes |
Practice location
7447 W Talcott Ave Ste 501Chicago, IL 60631-3716
Phone 773-631-4112 · Fax 773-594-2113
Mailing address
900 Rand Rd Ste 300Des Plaines, IL 60016-2359
Phone 847-324-3976 · Fax 847-929-1154
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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