Van Bergen, Andrew Henry
Van Bergen, Andrew Henry is an individual health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Van Bergen, Andrew Henry can be contacted via phone (708) 684-5580.Contact Information
Primary practice address
4440 W 95Th St
Oak Lawn IL 60453-2600
Phone: (708) 684-5580
Fax: (708) 684-4068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 036107433 | Illinois |
Profile Details
| NPI number | 1689655391 |
|---|---|
| LBN Legal business name | Van Bergen, Andrew Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Feb 27th, 2024 - about 9 months 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 | 1689655391 | NPPES |
| Illinois | MEDICAID | 036107433 |
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