Individual
DR. JESSE L VANLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 EASTLAND DR, SUITE 210, BLOOMINGTON, IL 61701-7906
(309) 662-5506
(309) 662-5443
Mailing address
1505 EASTLAND DR, SUITE 210, BLOOMINGTON, IL 61701-7906
(309) 662-5506
(309) 662-5443
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036109293
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109293
—
IL
01
—
036109293001
OSF HEALTH PLANS
—
01
—
05732036
BLUE SHIELD GROUP NUMBER
IL
01
—
084529
HEALTH ALLIANCE PROVIDER
IL
05
—
204597405
—
MO
01
—
2299329
UNITED HEALTHCARE
—
01
—
276560
PERSONAL CARE
—
01
—
37875
PHCS
—
01
—
37972
TRICARE
—
01
—
566399
HEALTHLINK
—
01
—
IL0106
JOHN DEERE HEALTH PLAN
—
Enumeration date
08/25/2005
Last updated
11/01/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us