Carolyn Vandoren in Dixon - Specialist

Carolyn Vandoren - NPI 1558569061

Carolyn Vandoren is a Specialist in Dixon, Illinois. Carolyn Vandoren practices all healthcare services and medical treatments related to Specialist. The NPI Number for Carolyn Vandoren is 1558569061. The last update date is 2008-04-07.

Carolyn Vandoren's current location address is 631 Willett Ave, Dixon, Illinois. You can contact this provider via phone number 8156774091. The mailing address for Carolyn Vandoren is 631 Willett Ave, Dixon, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Carolyn Vandoren
Address 631 Willett Ave, Dixon, Illinois
Phone Number 8156774091
Fax Number
Sole Proprietor Y
Credentials PSY. D.

NPI Number Detail

NPI Number 1558569061
Provider Enumeration Date 2007-07-05
Last Updated Date 2008-04-07

Provider Mailing Address Detail

Address 631 Willett Ave
City Dixon
State Illinois (IL)
Post Code 610212348
Phone Number 8156774091
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Carolyn Vandoren

What is the unique provider identifier assigned to Carolyn Vandoren?

The Carolyn Vandoren has been issued the NPI (National Provider Identifier) 1558569061 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Carolyn Vandoren's facilities are situated?

The facilities of Carolyn Vandoren are physically located at the following address: 631 Willett Ave, Dixon, IL, 610212348.

What is Carolyn Vandoren's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Carolyn Vandoren is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1558569061 to Carolyn Vandoren?

The Centers for Medicare & Medicaid Services assigned the 1558569061 to Carolyn Vandoren on 2007-07-05.

As of what date was the information pertaining to Carolyn Vandoren, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Carolyn Vandoren, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-07.

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