Individual
DR. DANIEL JOHN VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 596-5518
Mailing address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 596-5518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0036088859
IL
208000000X
Pediatrics Physician
0036088859
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088859
—
IL
Enumeration date
10/13/2006
Last updated
07/16/2025
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