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:
Health care specialties
| Specialty | Code | License # | 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 17 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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