Active NPI
Daniel John Vandenberg, M.D.
- Internal Medicine Physician
- Harvey, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0036088859
- Practice address
- 31 W 155TH St
Harvey, IL 60426-3556 - Phone
- (708) 596-5177
- Fax
- (708) 596-5518
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0036088859 | IL | Primary |
| Pediatrics Physician | 208000000X | 0036088859 | IL |
Addresses
Primary practice location
31 W 155TH St
Harvey, IL 60426-3556
Mailing address
31 W 155TH St
Harvey, IL 60426-3556
Phone (708) 596-5177
Other practice location 1
71 W 156th St
Suite 311
Harvey, IL 60426-4260
Phone (708) 339-6321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036088859 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Rush Medical College of Rush University, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31 W 155TH St
Harvey, IL 60426-3556
Phone (708) 596-5177
Hospital & facility affiliations
- Ingalls Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0036088859 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Christian Health Center | Current | Accepting new patients | |
| Family Christian Health Center | Current | Accepting new patients | |
| Family Christian Health Center | Current | Accepting new patients | |
| Family Christian Health Center | Past | Accepting new patients |
Locations
713 E 142nd St
Dolton, IL 60419
Phone (708) 596-5177
31 W 155th St
Harvey, IL 60426
Phone (708) 596-5177
19767 Torrence Ave
Lynwood, IL 60411
Phone 7085965177 ext. 8793
Interoperability endpoints
- dvandenbergmd237102@uchospital.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Harvey, IL
- NPI 1093855736
-
- Federally Qualified Health Center (FQHC)
- Harvey, IL
- NPI 1013744325
-
- Federally Qualified Health Center (FQHC)
- Lynwood, IL
- NPI 1952754582
-
- Federally Qualified Health Center (FQHC)
- Dolton, IL
- NPI 1336433382
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1699865568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 W 155TH ST",
"city": "HARVEY",
"state": "IL",
"postal_code": "604263556",
"telephone_number": "708-596-5177",
"fax_number": "708-596-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 W 155TH ST",
"city": "HARVEY",
"state": "IL",
"postal_code": "604263556",
"telephone_number": "708-596-5177",
"fax_number": "708-596-5518"
}
],
"practiceLocations": [
{
"address_1": "71 W 156th St",
"address_2": "Suite 311",
"address_purpose": "LOCATION",
"city": "Harvey",
"state": "IL",
"postal_code": "604264260",
"country_code": "US",
"telephone_number": "708-339-6321",
"fax_number": "708-339-6326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDENBERG",
"first_name": "DANIEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "0036088859",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "0036088859",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036088859",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harvey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.