Elisa Marie De Jong C.O.

NPI 1245530609 - Orthotist - 222Z00000X

NPI Details
NPI 1245530609
Gender Female
Enumeration Date 11/01/2010
Last Updated 11/01/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2300 N CHILDRENS PLZ
BOX #46
CHICAGO IL, 60614-3363, US
Phone (773) 327-1022
Fax (773) 327-1054
Business Location
2300 N CHILDRENS PLZ
BOX #46
CHICAGO IL, 60614-3363, US
Phone (773) 327-1022
Fax (773) 327-1054
Toxanomy
Taxonomy Code 222Z00000X
License State
License Number
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According to our database, Elisa Marie De Jong C.O. NPI is 1245530609, taxonomy code is 222Z00000X Elisa Marie De Jong C.O. physically located at 2300 N Childrens Plz, Chicago IL, 60614-3363. NPI Number Elisa Marie De Jong C.O. has the Individual type.

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1245530609 NPI number is provided on an as is basis without warranty of any kind. 1245530609 is maintained by the National Plan & Provider Enumeration System. The contents of Elisa Marie De Jong C.O. are for informational purposes only.