person
Jaydienne Paulisa Cruz Fontejon, DPM
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1225612096

Jaydienne Paulisa Cruz Fontejon is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Jaydienne Paulisa Cruz Fontejon practices in Chicago, IL and has the professional credentials of DPM. The NPI Number for Jaydienne Paulisa Cruz Fontejon is 1225612096 and holds a License No. (Illinois).

The current practice location address for Jaydienne Paulisa Cruz Fontejon is 4646 N Marine Dr, Chicago, IL and can be reached out via phone at 773-878-8700.

Location: 4646 N Marine Dr, Chicago, IL, 60640-5759
person
Provider Profile Details
NPI Number
1225612096
Provider Name
Jaydienne Paulisa Cruz Fontejon
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
4646 N Marine Dr, Chicago, IL, 60640-5759
Phone Number
773-878-8700
Fax Number
Provider Enumeration Date
05/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4646 N Marine Dr
City
State
Zip
60640-5759
Phone Number
773-878-8700
Fax Number
person
Provider Business Mailing Address Details
Address
4646 N Marine Dr
City
State
Zip
60640-5759
Phone Number
773-878-8700
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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.
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