Organization
DANIEL J VANDENBERG MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY J VAN OENE (OFFICE MANAGER)
(312) 493-1236
Entity
Organization
Contact information
Practice address
71 W 156TH ST, STE 311, HARVEY, IL 60426-4260
(708) 339-6321
(708) 339-6326
Mailing address
71 W 156TH ST, STE 311, HARVEY, IL 60426-4260
(708) 339-6321
(708) 339-6326
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03608859
IL
208000000X
Pediatrics Physician
—
IL
Other
Enumeration date
04/11/2007
Last updated
08/17/2007
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