CHRISTIAN VAN

BOLINGBROOK, IL
NPI1942512629
Former NameTUNG VAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IL  238.00260)
Enumeration Date2010-07-09
Last Update Date2010-07-09
Business Address
Dr. CHRISTIAN VAN MD
108 PEACE AVE
BOLINGBROOK, IL 60490-4583
Phone number: 773-213-6613
Mailing Address
Dr. CHRISTIAN VAN MD
108 PEACE AVE
BOLINGBROOK, IL 60490-4583
Phone number: 773-213-6613
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