Van Dam, Donna D

Van Dam, Donna D is an sole proprietor health care provider with primary practice located at 720 Brom Ct Suite 104, Naperville IL 60540-6531. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Van Dam, Donna D can be contacted via phone (630) 717-9977.

Contact Information

Primary practice address
720 Brom Ct Suite 104 Naperville IL 60540-6531
Phone: (630) 717-9977
Fax: (630) 717-6267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 309.000811 Illinois

Profile Details

NPI number 1114291895
LBN Legal business name Van Dam, Donna D
Credentials APN/CNM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2012
Last updated Feb 28th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114291895 NPPES
Illinois Other 21605044 BLUE CROSS BLUE SHIELD

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