Active NPI
Dani Hoang Nguyen, PA-C, CAQ-PSYCH
- Medical Physician Assistant
- Chicago, IL
National Provider Identifier
1811568835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085.008656
- Practice address
- 119 S Western Ave Unit 1
Chicago, IL 60612-4644 - Phone
- (312) 625-0110
- NPI assigned
- Jul 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085.008656 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 085.008656 | IL |
Addresses
Primary practice location
119 S Western Ave Unit 1
Chicago, IL 60612-4644
Mailing address
119 S Western Ave Unit 1
#165
Chicago, IL 60612-4644
Phone (312) 625-0110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.008656 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daring Indeed | Medical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Chicago, IL
- NPI 1114729639
Medical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1811568835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 S WESTERN AVE UNIT 1",
"address_2": "#165",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124644",
"telephone_number": "312-625-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 S WESTERN AVE UNIT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124644",
"telephone_number": "312-625-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DANI",
"middle_name": "HOANG",
"credential": "PA-C, CAQ-PSYCH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-09",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085.008656",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.008656",
"primary": false
}
],
"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 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.