Individual
DAVID D VANDERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 W HIGH ST, MORRIS, IL 60450-1463
(800) 379-8731
Mailing address
39798 TREASURY CTR, CHICAGO, IL 60694-9700
(800) 379-8731
(614) 541-4044
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036109875
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109875
—
IL
Enumeration date
06/15/2005
Last updated
03/24/2014
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