Van Thiel, Geoffrey S.

Van Thiel, Geoffrey S. is an individual health care provider with primary practice located at 324 Roxbury Rd , Rockford IL 61107-5090. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Van Thiel, Geoffrey S. can be contacted via phone (815) 398-9491.

Contact Information

Primary practice address
324 Roxbury Rd Rockford IL 61107-5090
Phone: (815) 398-9491
Fax: (815) 381-7498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036128546 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036128546 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 125-052058 Illinois

Profile Details

NPI number 1316103971
LBN Legal business name Van Thiel, Geoffrey S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated Aug 3rd, 2023 - about 2 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 1316103971 NPPES
Illinois MEDICAID 036128546

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