Individual provider Active NPI

Danny Khai Vu, M.D.

  • Legal Medicine
  • Gurnee, IL
National Provider Identifier
1518058346
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Practice address
135 N Greenleaf St
Suite 100
Gurnee, IL 60031-3393
Phone
(847) 244-7223
Fax
(847) 244-7247
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X IL Primary

Addresses

Primary practice location

135 N Greenleaf St
Suite 100
Gurnee, IL 60031-3393

Mailing address

135 N Greenleaf St
Suite 100
Gurnee, IL 60031-3393
Phone (847) 244-7223

Other identifiers 1

IdentifierTypeStateIssuer
1902913403OtherILNPI GROUP NUMBER

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070717000402 IL Practitioner - Internal Medicine 1052411287 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036096772ILMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Department of Human Services Current Accepting new patients
Illinois Department of Human Sevices CurrentSince Jun 29, 2013 Accepting new patients
Illinois Department of Human Services CurrentSince Jun 29, 2013 Accepting new patients
North Suburban Medical Office, LTD CurrentSince May 14, 2013 Accepting new patients

Locations

1445 N Hunt Club Rd
Ste 102
Gurnee, IL 60031
Phone (847) 573-9031

100 S Grand Ave E
Springfield, IL 62762

1401 W Dugdale Rd
Waukegan, IL 60085
Phone (847) 249-0600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFACCA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518058346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N GREENLEAF ST",
            "address_2": "SUITE 100",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313393",
            "telephone_number": "847-244-7223",
            "fax_number": "847-244-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N GREENLEAF ST",
            "address_2": "SUITE 100",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313393",
            "telephone_number": "847-244-7223",
            "fax_number": "847-244-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "DANNY",
        "middle_name": "KHAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP NUMBER",
            "identifier": "1902913403",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.