person
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.

Location: 28 Wingate Dr, Oswego, IL, 60543-7911
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
State
Zip
60543-7911
Phone Number
630-768-5685
Fax Number
person
Provider Business Mailing Address Details
Address
28 Wingate Dr
City
State
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
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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