JOHN VANDEVENDER
NPI 1851150049
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 18, 2024PECOS Enrolled
2900 N LAKE SHORE DR, CHICAGO, IL 60657(773) 665-6730 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Vandevender NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN VANDEVENDER (NPI 1851150049) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851150049
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN VANDEVENDER
Location Address2900 N LAKE SHORE DRChicago, IL 60657-5640
Mailing Address7s665 Carriage Way CtNaperville, IL 60540-8241 · (630) 470-7971
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
NPI 1851150049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.
2900 N LAKE SHORE DR, Chicago, IL 60657

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Vandevender is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Internal Medicine (Infectious Disease)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Pain Medicine (Interventional Pain Medicine)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Family Medicine
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Audiologist
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Dietitian, Registered
2900 N LAKE SHORE DR, CLINICAL NUTRITION SERVICES
CHICAGO, IL 60657
Student in an Organized Health Care Education/Training Program
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Internal Medicine
2900 N LAKE SHORE DR
CHICAGO, IL 60657

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Vandevender's NPI number?

The NPI number for John Vandevender is 1851150049. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is John Vandevender located?

John Vandevender practices at 2900 N Lake Shore Dr, Chicago, IL 60657. The listed phone number is (773) 665-6730.

What is John Vandevender's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Vandevender enrolled in Medicare?

Yes. John Vandevender is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Vandevender was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.