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Elissa Diestelkamp
Student in an Organized Health Care Education/Training Program in Oswego, Illinois
NPI 1730615279

Elissa Diestelkamp is a Student in an Organized Health Care Education/Training Program based in Oswego, IL. Elissa Diestelkamp practices in Oswego, IL. The NPI Number for Elissa Diestelkamp is 1730615279 and holds a License No. (Illinois).

The current practice location address for Elissa Diestelkamp is 28 Wingate Dr, Oswego, IL and can be reached out via phone at 630-768-5685. You can also correspond with Elissa Diestelkamp through the mailing address at 28 WINGATE DR, OSWEGO, IL - 60543-7911 (mailing address contact number: ).

Location: 28 Wingate Dr, Oswego, IL, 60543-7911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730615279
Provider Name
Elissa Diestelkamp
Credential
Provider Entity Type
Individual
Gender
Female
Address
28 Wingate Dr, Oswego, IL, 60543-7911
Phone Number
630-768-5685
Fax Number
Provider Enumeration Date
05/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
28 Wingate Dr
City
Oswego
State
Illinois
Zip
60543-7911
Phone Number
630-768-5685
Fax Number
person
Provider Business Mailing Address Details
Address
28 Wingate Dr
City
Oswego
State
Illinois
Zip
60543-7911
Phone Number
630-768-5685
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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