Individual provider · Type 1 NPI

Daniel Henry Von Der Vellen

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1285485938 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 655-2000 Map

Mailing address

10341 Blackbirch Dr
Dayton, OH 45458-9474

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285485938

Daniel Henry Von Der Vellen's National Provider Identifier is 1285485938, issued on Apr 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Apr 1, 2024.