Individual
DR. CLAUDIA VANDIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1044 N MOZART ST STE 100, CHICAGO, IL 60622-3644
(773) 292-8300
Mailing address
2424 S PULASKI RD, CHICAGO, IL 60623-3718
(773) 257-8347
(773) 257-8400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.058872
IL
Other
Enumeration date
07/08/2010
Last updated
12/27/2019
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