DR. JULIE D. VAN (NPI# 1891801973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891801973 |
| Entity Type | Individual |
| Full Name | DR. JULIE D. VAN |
| Credential | D.O. |
| Practice Address |
430 Warrenville Rd Ste 310 Lisle IL 60532-1348 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-2990 |
| Practice Telephone | 6305480408 |
| Mailing Telephone | 6304692000 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-114087 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP MEDICARE PTAN | 400280 | 01 |
| IL | 036114087 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154759868 | Julie Van | Speech-Language Pathologist | 343 Gold St Apt 2502, Brooklyn, NY 11201-3087 | 2013-10-16 |
| 1134571904 | Julie Van | Dentist | Unit 2022, Apo, AP 96264-2022 | 2016-07-05 |
| Street Address |
430 WARRENVILLE RD STE 310 |
| City | LISLE |
| State | IL |
| Zip Code | 60532-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902873870 | Theresa Lee | Surgery | 430 Warrenville Rd Ste 310, Lisle, IL 60532-1348 | 2006-03-01 |
| 1780242743 | Rachel Suzanne Verner | Physical Therapist | 430 Warrenville Rd Ste 310, Lisle, IL 60532-1348 | 2019-06-04 |
| 1699281592 | Rachel L Benecke | Nurse Practitioner | 430 Warrenville Rd Ste 310, Lisle, IL 60532-1348 | 2017-12-14 |
| 1467970905 | Robi Maria Dooling | Physical Therapist | 430 Warrenville Rd Ste 310, Lisle, IL 60532-1348 | 2017-09-05 |
| 1346764164 | Jessica Brunner | Dietitian, Registered | 430 Warrenville Rd Ste 310, Lisle, IL 60532-1348 | 2017-08-02 |
| 1790070803 | Gregory S Wallin | Family Medicine | 430 Warrenville Rd Ste 310, Lisle, IL 60532-1348 | 2011-06-16 |
| 1386938157 | Brian Kadow | Urology | 430 Warrenville Rd Ste 310, Lisle, IL 60532-1348 | 2011-06-08 |
| 1679701569 | Karina Amelia Alexander | Plastic Surgery | 430 Warrenville Rd Ste 310, Lisle, IL 60532-1348 | 2009-06-30 |
| 1184799967 | Marc I Brand | Surgery | 430 Warrenville Rd Ste 310, Lisle, IL 60532-1348 | 2006-11-21 |
| 1780794073 | Laura Butler | Physical Therapist | 430 Warrenville Rd Ste 310, Lisle, IL 60532-1348 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
| 1336634856 | Forward Emotion, LLC | Counselor | 3060 Ogden Ave Ste 102, Lisle, IL 60532 | 2018-06-27 |
| 1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
| 1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
| 1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
| 1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
| 1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
| 1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
| Find all providers in zip 60532 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932216819 | Presence Healthcare Services | Family Medicine | 2601 Navistar Dr Fl 3, Lisle, IL 60532-3679 | 2006-08-24 |
| 1770549958 | Susan M Fedinec | Family Medicine | 4979 Indiana Ave Ste 312, Lisle, IL 60532 | 2006-04-25 |
| 1518959204 | Daniel J. Driscoll | Family Medicine | 66 Johnson Hill Rd, Lisle, NY 13797-1403 | 2005-08-18 |
| 1790070803 | Gregory S Wallin | Family Medicine | 430 Warrenville Rd Ste 310, Lisle, IL 60532-1348 | 2011-06-16 |
| 1780790865 | Linda A Lis | Family Medicine | 430 Warrenville Rd Ste 310, Lisle, IL 60532-1348 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
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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.