KELLY VUONG (NPI# 1073511135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073511135 |
| Entity Type | Individual |
| Full Name | KELLY VUONG |
| Credential | MD |
| Practice Address |
885 Roosevelt Rd Ste 201 Glen Ellyn IL 60137-6141 |
| Practice Telephone | 6305453760 |
| Practice Fax Number | 6305453769 |
| Mailing Telephone | 6305453760 |
| Mailing Fax Number | 6305453769 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036110420 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036110420 | 05 | |
| IL | RAILROAD MEDICARE PTAN (GROUP) | CA4748 | 01 |
| IL | MEDICARE PTAN (GROUP) | 206147 | 01 |
| IL | MEDICARE PTAN (INDIVIDUAL) | 206147101 | 01 |
| IL | RAILROAD MEDICARE PTAN (INDIVIDUAL) | P01053223 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154294 | Kelly Vuong | Pharmacist | 100 Broadway, Elmwood Park, NJ 07407-3025 | 2020-08-13 |
| Street Address |
885 ROOSEVELT RD STE 201 |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598305443 | Nw Medical Associates LLC | Internal Medicine | 75 Surrey Dr Apt 2, Glen Ellyn, IL 60137-7812 | 2020-01-08 |
| 1881074441 | Mohit Gupta | Internal Medicine | 430 Pennsylvania Ave Ste 310, Glen Ellyn, IL 60137 | 2015-06-08 |
| 1144584988 | Christina Tram Huynh | Internal Medicine | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2012-06-26 |
| 1114246782 | Magdalena Anastazja Ho | Internal Medicine | 430 Pennsylvania Ave, 310, Glen Ellyn, IL 60137-4464 | 2010-05-21 |
| 1114242302 | Leena T Patel | Internal Medicine | 430 Pennsylvania Ave, 310, Glen Ellyn, IL 60137-4464 | 2010-03-31 |
| 1851555619 | John Stephen Baird | Internal Medicine | 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 | 2008-07-10 |
| 1437215076 | Mary Eileen Kungl | Internal Medicine | 430 Pennsylvania Ave, 310, Glen Ellyn, IL 60137-4418 | 2006-12-28 |
| 1063473031 | Caroline Wolfe | Internal Medicine | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2006-03-30 |
| 1831150036 | Jeffrey Tomaszewski | Internal Medicine | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2006-03-29 |
| 1467429456 | Carol Olmstead Miecznikowski | Internal Medicine | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2006-03-08 |
| Find all providers in GLEN ELLYN | ||||
| City | GLEN ELLYN |
| Zip Code | 60137 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.