Illin Rivera Bangug · Family Medicine Physician

450 Chew St Ste 101, Allentown, PA 18102-3434

Overview

Illin Rivera Bangug is a Family Medicine Physician practicing in Allentown, Pennsylvania. The National Provider Identifier (NPI) is #1700724754, which was assigned on March 23, 2026, and the registration record was last updated on March 23, 2026. The practitioner's main practice location is at 450 Chew St Ste 101, Allentown, PA 18102-3434; the contact telephone number is 8667858537. The primary taxonomy of Illin Rivera Bangug is Family Medicine Physician (207Q00000X). Illin Rivera Bangug is licensed to practice in the state of Pennsylvania (#MT236008).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Information

NPI 1700724754
Entity Type Individual
Provider Name ILLIN RIVERA BANGUG
Gender Female
Credential MD
Practice Address 450 Chew St Ste 101
Allentown
PA 18102-3434
Practice Telephone 8667858537
Mailing Address 450 Chew St Ste 101
Allentown
PA 18102-3434
Certification Date 2026-03-23
Enumeration Date 2026-03-23
Last Update Date 2026-03-23
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207Q00000XFamily MedicineMT236008PA

Taxonomy Information

Primary Taxonomy

Code 207Q00000X
Taxonomy Family Medicine Physician
Classification Family Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Melissa Rodriguez Mendoza 1969 W Ogden Ave, Chicago, IL 60612-3773Family Medicine Physician2026-05-08
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Rebekah Keasbey 329 Conway St, Greenfield, MA 01301-1521Family Medicine Physician2026-05-08
H3 Doctors Group PLLC 5 Cherry Creek Cv, Little Rock, AR 72212-2005Family Medicine Physician2026-05-08
Kimberly Dana Hall 12719 Sw 27th St, Miramar, FL 33027-3822Family Medicine Physician2026-05-09
Naila Zia Siddiqi 650 Stewart Rd, Monroe, MI 48162-4222Family Medicine Physician2026-05-08
Loren Odam 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123Family Medicine Physician2026-05-08
Meena R Barakam 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502Family Medicine Physician2026-05-07
Nareen Faraj Elias 4600 Valley Rd Ste 210, Lincoln, NE 68510-4892Family Medicine Physician2026-05-08
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Location Information

Street Address 450 CHEW ST STE 101
City ALLENTOWN
State PA
Zip Code 18102-3434
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Phia Martinez 450 Chew St Ste 101, Allentown, PA 18102-3434Family Medicine Physician2023-06-08
Ugochukwu Akusoba 450 Chew St Ste 101, Allentown, PA 18102-3434Family Medicine Physician2024-07-01
Esther Acevedo Rosa 450 Chew St Ste 101, Allentown, PA 18102-3434Family Medicine Physician2025-06-11
Francisco Bermudez 450 Chew St Ste 101, Allentown, PA 18102-3434Family Medicine Physician2023-06-19
Eliab Reda 450 Chew St Ste 101, Allentown, PA 18102-3434Family Medicine Physician2025-04-22
Wolfut Fazli 450 Chew St Ste 101, Allentown, PA 18102-3434Family Medicine Physician2024-07-01
Angela R Allred 450 Chew St Ste 101, Allentown, PA 18102-3434Nurse Practitioner2024-08-16
Yilian Vazquez Garcia 450 Chew St Ste 101, Allentown, PA 18102-3434Family Medicine Physician2026-04-30
Krizia Kaye Ong 450 Chew St Ste 101, Allentown, PA 18102-3434Family Medicine Physician2023-06-08
Patricia Araujo 450 Chew St Ste 101, Allentown, PA 18102-3434Family Medicine Physician2025-06-11
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Donique Amalia Berry 450 Chew St Ste 203, Allentown, PA 18102-3434Pediatrics Physician2025-05-08
Brianna Charnock 450 Chew St Ste 203, Allentown, PA 18102-3434Pediatrics Physician2025-05-16
Kyle Campbell 450 Chew St Ste 201, Allentown, PA 18102-3434Student in an Organized Health Care Education/Training Program2023-02-27
Patrick Anthony Rossi 450 Chew St # 201, Allentown, PA 18102-3434General Practice Dentistry2023-07-13
St. Luke's Physician Group, Inc. 450 Chew St Fl 2, Allentown, PA 18102-3434Neonatal-Perinatal Medicine Physician2018-04-16
Amanda Nicole Pitts 450 Chew St Ste 203, Allentown, PA 18102-3434Pediatrics Physician2023-06-23
Stephanie Grace Frederick 450 Chew St Ste 202, Allentown, PA 18102-3434Family Nurse Practitioner2017-10-19
Katherine Marie Rumsey 450 Chew St Ste 203, Allentown, PA 18102-3434Pediatrics Physician2025-04-22
Ramez Younis 450 Chew St Ste 204, Allentown, PA 18102-3434General Practice Dentistry2019-04-28
Viktor Lucas Corpuz 450 Chew St, Sigal Center, Allentown, PA 18102-3434Family Medicine Physician2013-01-22
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Marcos Morales 462 W. Walnut Street, Allentown, PA 18102Mental Health Counselor2016-02-03
Kidspeace Children's Hospital, Inc. 451 W. Chew St., Suite 105, Allentown, PA 18102Adolescent and Children Mental Health Clinic/Center2014-12-12
Arthur Middleton Mason 1545 W. Greenleaf St, Allentown, PA 18102Occupational Therapist2009-06-03
Hannah Grace Corcoran 421 West Chew St, Allentown, PA 18102Physician Assistant2021-07-21
Pennsylvania Injury & Wellness Center, LLC 1227 W Liberty St Ste 204, Allentown, PA 18102Chiropractor2017-11-06
Adaola Patricia Onyenaka Star Community Health Kidscare-Sigal Health, 450 West Chew Street, Suite 203, Allentown, PA 18102Pediatrics Physician2025-05-14
Aaron Healthcare Inc 28 North 15th Street, Allentown, PA 18102Home Health Agency2008-02-08
Courtney Bock-Hencken 210-214 North 6th Street, Allentown, PA 18102Mental Health Counselor2015-04-17
City of Allentown City Treasury Room 110 245 N. 6th Street, Allentown Health Bureau, Allentown, PA 18102State or Local Public Health Clinic/Center2008-07-16
Daniel Patrick Dever Star Community Health Family Medicine Sigal - Allentown, 450 West Chew Street Suite 101, Allentown, PA 18102Family Medicine Physician2021-05-06
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.