Search › Illinois › 1223S0112X
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