SearchIllinois1223S0112X

Bryan Vanoven, DDS

NPI 1720290174 · on the registry since 2007

Practice

Address
1236 American Way
Libertyville, IL 60048
Phone
(847) 367-8656
Fax
(847) 557-1361
Organisation at this address
Libertyville Oral Surgery Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
122300000X
Licence states on file
OK, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois