Active NPI
Van Orthopaedic & Spine Surgery SC
- Orthopaedic Surgery Physician
- Geneva, IL
National Provider Identifier
1295811065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036090742
- Legal business name
- VAN ORTHOPAEDIC & SPINE SURGERY SC
- Practice address
- 351 Delnor Dr
Suite 406
Geneva, IL 60134-4220 - Phone
- (630) 208-3099
- Fax
- (630) 208-4373
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan U Van, MD
- Title
- President
- Phone
- (630) 262-8557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036090742 | IL | Primary |
Addresses
Primary practice location
351 Delnor Dr
Suite 406
Geneva, IL 60134-4220
Mailing address
351 Delnor Dr
Suite 406
Geneva, IL 60134-4220
Phone (630) 208-3099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7126180 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232668800000",
"number": "1295811065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 DELNOR DR",
"address_2": "SUITE 406",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344220",
"telephone_number": "630-208-3099",
"fax_number": "630-208-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 DELNOR DR",
"address_2": "SUITE 406",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344220",
"telephone_number": "630-208-3099",
"fax_number": "630-208-4373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAN ORTHOPAEDIC & SPINE SURGERY SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2009-01-23",
"status": "A",
"authorized_official_last_name": "VAN",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "U",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-262-8557",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036090742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "7126180",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.