Organization Active NPI

Van Orthopaedic & Spine Surgery SC

  • Orthopaedic Surgery Physician
  • Geneva, IL
National Provider Identifier
1295811065
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036090742 Issued in IL
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

Updated by the provider on Jan 23, 2009

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7126180OtherILBCBS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.