CATHRYN PILAVUN PHOUYBANHDYT MD, MPH
NPI 1578319802
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Cathryn Phouybanhdyt's NPI number?

The NPI number for Cathryn Phouybanhdyt is 1578319802. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Q: What is Cathryn Phouybanhdyt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 26, 2024PECOS Enrolled

5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637(773) 702-6760 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cathryn Pilavun Phouybanhdyt Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CATHRYN PILAVUN PHOUYBANHDYT MD, MPH (NPI 1578319802) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578319802

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCATHRYN PILAVUN PHOUYBANHDYTCredential: MD, MPH

Location Address5841 S MARYLAND AVE # MC1052Chicago, IL 60637-1443

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 702-6760

Sole ProprietorYes

Enumeration DateApril 26, 2024

NPPES CertifiedApril 26, 2024

✔ NPI 1578319802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5841 S MARYLAND AVE # MC1052, Chicago, IL 60637

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cathryn Pilavun Phouybanhdyt Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DERRIUS J. ANDERSON MD

Surgery