DR. MARK VANDRUNEN (NPI# 1417061722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417061722 |
| Entity Type | Individual |
| Full Name | DR. MARK VANDRUNEN |
| Credential | MD |
| Practice Address |
Hines Va Hospital 5th Ave & Roosevelt Road Hines IL 60141 |
| Mailing Address |
53 Briarwood Ln Oak Brook IL 60523-8706 |
| Practice Telephone | 7082022169 |
| Practice Fax Number | 7082022292 |
| Mailing Telephone | 6303211944 |
| Mailing Fax Number | 7082022292 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
HINES VA HOSPITAL 5TH AVE & ROOSEVELT ROAD |
| City | HINES |
| State | IL |
| Zip Code | 60141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790739415 | Darrell Richard Nemec | Nurse Anesthetist, Certified Registered | Hines Va Hospital, Hines, IL 60141 | 2006-05-19 |
| 1750588471 | Gauri Khatkhate | Psychiatry & Neurology | Hines Va Hospital, Hines, IL 60141 | 2007-06-27 |
| 1659573368 | Vera Jean Cook | Occupational Therapist | Hines Va Hospital, Hines, IL 60141 | 2007-06-04 |
| 1801977269 | Michael J Blacconiere | Psychologist | Hines Va Hospital, 5th Ave & Roosevelt Rd, Hines, IL 60141 | 2006-10-18 |
| 1346339470 | Jeffery P. Naour | Internal Medicine | Hines Va Hospital, Hines, IL 60141 | 2006-10-12 |
| 1326136037 | Jeffrey Ronald Kanofsky | Internal Medicine | Hines Va Hospital, Fifth Avenue & Roosevelt Road, Hines, IL 60141 | 2006-10-10 |
| 1497843353 | Robert S Chimis | Psychologist | Hines Va Hospital, Mental Health Clinic (116a3), Hines, IL 60141 | 2006-10-10 |
| 1811085798 | Lonnie C Edwards IIi | Internal Medicine | Hines Va Hospital, 5th & Roosevelt, Hines, IL 60141 | 2006-10-10 |
| 1578656450 | Sudha Bhoopalam | Internal Medicine | Hines Va Hospital, Hines, IL 60141 | 2006-10-02 |
| 1366542359 | Kristin Margaret Kirchwehm | Specialist/Technologist | Hines Va Hospital, Building 113, Hines, IL 60141 | 2006-09-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558472647 | Peter T Rogers | Radiology | 5th & Roosevelt, Hines, IL 60141 | 2006-08-31 |
| 1588772297 | Hariprasad Pandurangam Kurella | Radiology | 5th & Roosevelt, Hines, IL 60141 | 2006-08-25 |
| 1235246810 | Billy Hk Chan | Radiology | 5th & Roosevelt, Hines, IL 60141 | 2006-08-23 |
| 1477660066 | William A. P. Supan | Radiology | 5th & Roosevelt, Hines, IL 60141 | 2006-08-23 |
| 1467569913 | Kudavalli N Somashekar | Radiology | 5th & Roosevelt, Hines, IL 60141 | 2006-08-23 |
| 1609982594 | Subramanian Ramamurthy | Radiology | 5th & Roosevelt, Hines, IL 60141 | 2006-08-22 |
| 1043326440 | Ravichai Nikrodhanond | Radiology | 5th & Roosevelt, Hines, IL 60141 | 2006-08-21 |
| 1912013301 | Bhanu Rangachari | Radiology | 5th & Roosevelt, Hines, IL 60141 | 2006-08-21 |
| 1912013277 | Vinod Dalal | Radiology | 5th & Roosevelt, Hines, IL 60141 | 2006-08-21 |
| 1649385881 | Ai Hua Keh-lim | Radiology | 5th Avenue & Roosevelt Road, Hines, IL 60141 | 2006-08-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.