Vanroekel, Vivian S

Vanroekel, Vivian S is an individual health care provider with primary practice located at 2900 Foxfield Rd , St Charles IL 60174-5799. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vanroekel, Vivian S can be contacted via phone (630) 315-6790.

Contact Information

Primary practice address
2900 Foxfield Rd St Charles IL 60174-5799
Fax: (630) 315-6799
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036064522 Illinois

Profile Details

NPI number 1487657524
LBN Legal business name Vanroekel, Vivian S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Apr 7th, 2014 - about 10 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 1487657524 NPPES
Illinois Other DB1658 MEDICARE RAILROAD (GROUP)
Illinois Other 920540 MEDICARE RAILROAD (GROUP)
Illinois Other P01273137 MEDICARE RAILROAD (GROUP)
Illinois MEDICAID 036064522 MEDICARE RAILROAD (GROUP)
Illinois Other 920540026 MEDICARE RAILROAD (GROUP)

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