# VAN ORTHOPAEDIC & SPINE SURGERY SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295811065
- **Authorized official:** DR. ALAN U VAN MD (PRESIDENT)
- **Authorized official phone:** (630) 262-8557

## Contact information

- **Practice address:** 351 DELNOR DR, SUITE 406, GENEVA, IL 60134-4220
- **Practice address phone:** (630) 208-3099
- **Practice address fax:** (630) 208-4373
- **Mailing address:** 351 DELNOR DR, SUITE 406, GENEVA, IL 60134-4220
- **Mailing address phone:** (630) 208-3099
- **Mailing address fax:** (630) 208-4373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036090742 | IL | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 01/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7126180 | BCBS | IL |