Vorenkamp, Theodore A

Vorenkamp, Theodore A is an individual health care provider with primary practice located at 425 Huehl Rd Unit 13, Northbrook IL 60062-2319. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Vorenkamp, Theodore A can be contacted via phone (800) 654-3772.

Contact Information

Primary practice address
425 Huehl Rd Unit 13 Northbrook IL 60062-2319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000535A Indiana

Profile Details

NPI number 1386609717
LBN Legal business name Vorenkamp, Theodore A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated May 26th, 2013 - about 12 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 1386609717 NPPES
Indiana MEDICAID 100409860A
Indiana MEDICAID 100409860D
Indiana Other 000000089860
Indiana Other 0005706081
Indiana Other 480014969

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