Individual
THOMAS VANOSDOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24600 W 127TH ST STE 225, PLAINFIELD, IL 60585-9507
(630) 545-7833
(630) 545-7835
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036118974
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00726497
RR MEDICARE
IL
Enumeration date
11/07/2005
Last updated
08/31/2023
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