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Individual

DR. CHAD D VANDERLINDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2701 17TH ST, ROCK ISLAND, IL 61201
(309) 563-2054
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 563-2054

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-115492
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28518
BC WELLMARK
01
98838
BC WELLMARK
01
98935
BC WELLMARK
01
P00376745
RR MEDICARE
IA
01
P00379017
RR MEDICARE
IL
Enumeration date
08/31/2006
Last updated
07/23/2018
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