Individual
TAYLOR VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 926-2000
Mailing address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 926-2000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
125.081606
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
09/06/2023
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