Stamos, Van
Stamos, Van is an individual health care provider with primary practice located at 2401 Ravine Way Suite 200, Glenview IL 60025-7645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Stamos, Van can be contacted via phone (847) 998-5680.Contact Information
Primary practice address
2401 Ravine Way Suite 200
Glenview IL 60025-7645
Phone: (847) 998-5680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036-084586 | Illinois |
Profile Details
| NPI number | 1851344568 |
|---|---|
| LBN Legal business name | Stamos, Van |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Aug 28th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851344568 | NPPES |
| Illinois | MEDICAID | 036-084586 |
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