DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD MARK VAN DERVEER, LMT

Active Sole Proprietor

RICHARD MARK VAN DERVEER, LMT is a Massage Therapist healthcare provider located in OAKWOOD HILLS, Illinois. NPI 1811268329 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · OAKWOOD HILLS, IL

Registration Details

NPI Number
1811268329
Provider Type
Individual
Gender
Male
NPI Issued
Jan 16, 2012 (14.562054237907 yrs)
Last Updated
Jan 16, 2012
License
227.005080 (IL)
Sole Proprietor
Yes

Practice Information

Address
5506 OAKWOOD DR
OAKWOOD HILLS, IL, 600131081
Browse IL providers · Browse ZIP 60013
Phone
2244403534
Primary Specialty
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.