Individual
DARL VANDEVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, BLDG 110, RM 3255, MAYWOOD, IL 60153-3328
(708) 216-9000
(708) 327-3463
Mailing address
2160 S 1ST AVE, BLDG 110, RM 3255, MAYWOOD, IL 60153-3328
(708) 216-9000
(708) 327-3463
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
36076274
IL
Other
Enumeration date
02/15/2006
Last updated
06/23/2011
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