Individual
JAMES VAN DEN BOGAERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1118 HAMPSHIRE ST, QUINCY, IL 62301-3027
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036165932
IL
207X00000X
Orthopaedic Surgery Physician
A067663
CA
Other
Enumeration date
03/24/2006
Last updated
08/10/2023
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