Individual
MR. ANDREW HENRY VAN BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5580
(708) 684-4068
Mailing address
621 PLAINFIELD RD, #105, WILLOW BROOK, IL 60527-5343
(630) 321-9811
(630) 321-9813
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036107433
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107433
—
IL
Enumeration date
11/09/2005
Last updated
02/27/2024
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