Claudia Vandiver, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

125.058872 Issued in IL

Practice address

1044 N Mozart St Ste 100
Chicago, IL 60622-3644

Phone

(773) 292-8300

NPI assigned

Jul 8, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1245542117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233718",
            "telephone_number": "773-257-8347",
            "fax_number": "773-257-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N MOZART ST STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223644",
            "telephone_number": "773-292-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 S Pulaski Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606233718",
            "country_code": "US",
            "telephone_number": "773-257-8347",
            "fax_number": "773-257-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDIVER",
        "first_name": "CLAUDIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.058872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Vandevelde, PA-C
• Ellen V Vandevender, DNP, APRN-NP, NNP-BC
• John Vandevender
• Sandhya Rose Vandiepenbos, RN
• Brian Vandine, MSW
• Tiffany R Vandivier
• Renee Vandoren, LCSW
• Jerry Vandoros, D.D.S.
• Jenna Nadine Vanduyne, CCC-SLP
• Caleb Benjamin Vandyke, MD

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.