Provider Type Icon

VAN MEDICAL CENTER INC NPI 1821219551


NPI Information

NPI: 1821219551
Provider Name: VAN MEDICAL CENTER, INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3637 W LAWRENCE AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 267-2627
Get Directions

VAN MEDICAL CENTER, INC is a primary care clinic center in Chicago, IL. VAN MEDICAL CENTER, INC NPI is 1821219551. The provider is registered as an organization entity type.

The provider's business location address is:

3637 W LAWRENCE AVE
CHICAGO, IL
ZIP 60625-625
Phone: (773) 267-2627
Fax: (773) 583-8559

The provider's authorized official is Ngan T Van .
The authorized official title is President and has the following contact phone number (773) 267-2627.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 11/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11626090OTHERILLINOISBCBS OF IL
2G83687MEDICARE UPINILLINOIS
3208532MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.