Waldvogel, Vanessa Jo

Waldvogel, Vanessa Jo is an individual health care provider with primary practice located at 9131 W 151St St , Orland Park IL 60462-3202. She recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as her primary health care specialty. Waldvogel, Vanessa Jo can be contacted via phone (708) 323-3376.

Contact Information

Primary practice address
9131 W 151St St Orland Park IL 60462-3202
Phone: (708) 323-3376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 036127274 Illinois

Profile Details

NPI number 1033868419
LBN Legal business name Waldvogel, Vanessa Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2022
Last updated Jun 1st, 2023 - about last year

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 1033868419 NPPES
Illinois Other 085.008947 ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

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