person
Dr. David John De Jong, MD
General Practice Physician in Chicago, Illinois
NPI 1215482567

David John De Jong is a General Practice Physician based in Chicago, IL. David John De Jong practices in Chicago, IL and has the professional credentials of MD. The NPI Number for David John De Jong is 1215482567 and holds a License No. 036.053269 (Illinois).

The current practice location address for David John De Jong is 226 W Willow St, Chicago, IL and can be reached out via phone at 312-909-2116 and via fax at 312-915-0015.

Location: 226 W Willow St, Chicago, IL, 60614-5716
person
Provider Profile Details
NPI Number
1215482567
Provider Name
David John De Jong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
226 W Willow St, Chicago, IL, 60614-5716
Phone Number
312-909-2116
Fax Number
312-915-0015
Provider Enumeration Date
08/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
226 W Willow St
City
State
Zip
60614-5716
Phone Number
312-909-2116
Fax Number
312-915-0015
person
Provider Business Mailing Address Details
Address
226 W Willow St
City
State
Zip
60614-5716
Phone Number
312-909-2116
Fax Number
312-915-0015
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
036.053269 (Illinois)
Definition
Definition to come...
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