Van Dorpe, Ross

Van Dorpe, Ross is an individual health care provider with primary practice located at 351 Delnor Dr Suite 100, Geneva IL 60134-4220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Van Dorpe, Ross can be contacted via phone (630) 232-0280.

Contact Information

Primary practice address
351 Delnor Dr Suite 100 Geneva IL 60134-4220
Fax: (630) 232-3895
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036097067 Illinois

Profile Details

NPI number 1376530634
LBN Legal business name Van Dorpe, Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jan 7th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376530634 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois MEDICAID 036097067 MEDICARE PTAN (GROUP)
Illinois Other P00944851 MEDICARE PTAN (GROUP)
Illinois Other 206147056 MEDICARE PTAN (GROUP)

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