Van Medical Center, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VAN MEDICAL CENTER, INC

Practice address

3637 W Lawrence Ave
Chicago, IL 60625-5625

Phone

(773) 267-2627

Fax

(773) 583-8559

NPI assigned

May 1, 2007

Last updated

Nov 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ngan T Van, M.D.NPI 1487639779

Title

President

Phone

(773) 267-2627

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ngan Thi Van, M.D.

  • Internal Medicine Physician
  • Granger, IN
  • NPI 1487639779
  NPD Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1821219551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255625",
            "telephone_number": "773-267-2627",
            "fax_number": "773-583-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255625",
            "telephone_number": "773-267-2627",
            "fax_number": "773-583-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "NGAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-267-2627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "1626090",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan A Van Hoorn, APN-CNS
• Isabelle Van Huis
• Amanda C Van Jacobs, MS, RDN, LDN, CNSC
• Milona Van Kanegan, DDS
• Morgan Alexandra Van Leer
• Brianna Catherine Van Mieghem, ATC
• Natalie Ann Van Ochten, MD
• Logan Van Poucke
• Hayley Beth Van Serke, PSYD
• Jennifer Van Swol, MD

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.