Individual
DR. TIM VADEBONCOUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6126
Mailing address
820 S DAMEN AVE, ANESTHESIOLOGY, MAIL CODE 124, CHICAGO, IL 60612-3728
(312) 569-6126
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-074436
IL
Other
Enumeration date
08/17/2006
Last updated
05/16/2015
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