Individual
JOHN J. VAN AALST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
966 W. 21 STREET, CHICAGO, IL 60608
(773) 254-1400
(312) 829-6829
Mailing address
1004 N KENILWORTH AVE, OAK PARK, IL 60302-1318
(708) 848-0396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
03655172
IL
Other
Enumeration date
08/08/2006
Last updated
10/30/2007
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