Organization
VAN ORTHOPAEDIC & SPINE SURGERY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN U VAN MD (PRESIDENT)
(630) 262-8557
Entity
Organization
Contact information
Practice address
351 DELNOR DR, SUITE 406, GENEVA, IL 60134-4220
(630) 208-3099
(630) 208-4373
Mailing address
351 DELNOR DR, SUITE 406, GENEVA, IL 60134-4220
(630) 208-3099
(630) 208-4373
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036090742
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7126180
BCBS
IL
Enumeration date
10/27/2006
Last updated
01/23/2009
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