Dr. Paul C Vanderbilt , MD
Surgery • Blue Island, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Vanderbilt has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Paul Vanderbilt, MD was a registered Surgery practicing in Blue Island, IL. Throughout an active medical career spanning 14 years, Dr. Vanderbilt provided care at the practice location at 2320 HIGH ST until profile deactivation on 2020-10-01.
Practice Location & Contact Primary Location
2320 High St
Retired 2-15-2012
Blue Island, IL 604062426
Specialty Benchmarks & Practice Insights
Comparative analytics for Surgery in Blue Island, IL
Practicing in Blue Island, IL (1624 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
General Practice
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Registered Nurse
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Obstetrics & Gynecology - Gynecology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 01, 2020
NPI status registered as active in NPPES database
Registered at 2320 HIGH ST, RETIRED 2-15-2012, BLUE ISLAND, IL 604062426 (Tel: 7083885500)
Registered at 2320 HIGH ST, RETIRED 2-15-2012, BLUE ISLAND, IL 604062426 (Tel: 7083885500)
Recorded as PAUL VANDERBILT, MD
Surgery (License #036039153 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2320 High St, Retired 2-15-2012
Blue Island, IL 604062426
Phone: 7083885500
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