Provider Demographics
NPI:1003163312
Name:WILLIAM VOGDS DC LTD
Entity Type:Organization
Organization Name:WILLIAM VOGDS DC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:VOGDS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-605-1741
Mailing Address - Street 1:25W330 GENEVA ROAD
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188
Mailing Address - Country:US
Mailing Address - Phone:630-605-1741
Mailing Address - Fax:
Practice Address - Street 1:25W330 GENEVA RD
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2328
Practice Address - Country:US
Practice Address - Phone:630-605-1741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care