Healthcare Provider Details

I. General information

NPI: 1841376977
Provider Name (Legal Business Name): WILLIAM F. VANDER HEYDEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 GREEN BAY RD VA MEDICAL CENTER
NORTH CHICAGO IL
60064
US

IV. Provider business mailing address

9051 LINCOLNWOOD DR
EVANSTON IL
60203-1824
US

V. Phone/Fax

Practice location:
  • Phone: 224-610-3163
  • Fax: 224-610-2938
Mailing address:
  • Phone: 847-763-0870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: