Active NPI
Kiev Anh Huynh
- Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AG03220112
- Practice address
- 5715 N Maplewood Ave
Chicago, IL 60659-5117 - Phone
- (773) 780-9297
- NPI assigned
- Jun 30, 2022
- Last updated
- Jun 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AG03220112 | IL | Primary |
Addresses
Primary practice location
5715 N Maplewood Ave
Chicago, IL 60659-5117
Mailing address
5715 N Maplewood Ave
Chicago, IL 60659-5117
Phone (773) 780-9297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4001 W Devon Ave
Suite 210
Chicago, IL 60646-4537
Phone (773) 983-6204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG03220112 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Wound Care Physicians Inc | Current | Accepting new patients | |
| Advanced Wound Care Associates PLLC | Nurse Practitioner | Current | Accepting new patients |
| Kidney Specialists of Illinois LLC | Current | Accepting new patients | |
| Family Care Physicians Inc | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients |
Locations
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
4001 W Devon Ave
Ste 210
Chicago, IL 60646
Phone (773) 283-8488
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
6374 N Lincoln Ave
Ste 201
Chicago, IL 60659
Phone (773) 501-6203
5540 W 111th St
Ste 2
Oak Lawn, IL 60453
Phone (708) 424-7600
Interoperability endpoints
- kiev.huynh.1@24172.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1013733922
-
dba John H. Stroger, Jr. Hospital of Cook County
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
dba Advanced Wound Associates
- Internal Medicine Physician
- Rosemont, IL
- NPI 1023864808
Nurse Practitioner
-
dba Cook County Health & Hospitals System Physician Services
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1376154088
-
- Nephrology Physician
- Chicago, IL
- NPI 1275969222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1275265944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5715 N MAPLEWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606595117",
"telephone_number": "773-780-9297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5715 N MAPLEWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606595117",
"telephone_number": "773-780-9297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "KIEV",
"middle_name": "ANH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "AG03220112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.