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NPI Code Detail

MEDICARE: WILLIAM F. VANDER HEYDEN

MEDICARE: WILLIAM F. VANDER HEYDEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP1600XPastoral Counselor
2101YM0800XMental Health CounselorIL

General Provider Information

NPI Number : 1841376977
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM F. VANDER HEYDEN
Provider Business Mailing Address
First Line : 9051 LINCOLNWOOD DR
Second Line :
City : EVANSTON
State : IL
Zip : 60203-1824
Country : US
Telephone Number : 847-763-0870
Fax Number :
Provider Business Practice Location Address
First Line : 3001 GREEN BAY RD
Second Line : VA MEDICAL CENTER
City : NORTH CHICAGO
State : IL
Zip : 60064
Country : US
Telephone Number : 224-610-3163
Fax Number : 224-610-2938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2006
Last Update Date : 09/11/2025

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