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1851150049
JOHN VANDEVENDER
CHICAGO, IL
NPI
1851150049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
JOHN VANDEVENDER
2900 N LAKE SHORE DR
CHICAGO, IL 60657-5640
Phone number: 773-665-6730
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Mailing Address
JOHN VANDEVENDER
7S665 CARRIAGE WAY CT
NAPERVILLE, IL 60540-8241
Phone number: 630-470-7971
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