Vananrooy, Mark

Vananrooy, Mark is an individual health care provider with primary practice located at 11475 N 2Nd St , Machesney Park IL 61115-1285. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Vananrooy, Mark can be contacted via phone (815) 654-8000.

Contact Information

Primary practice address
11475 N 2Nd St Machesney Park IL 61115-1285
Phone: (815) 654-8000
Fax: (815) 654-8020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Illinois

Profile Details

NPI number 1578541470
LBN Legal business name Vananrooy, Mark
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 9th, 2007 - about 19 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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