De Jong, David John

De Jong, David John is an sole proprietor health care provider with primary practice located at 226 W Willow St , Chicago IL 60614-5716. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. De Jong, David John can be contacted via phone (312) 909-2116.

Contact Information

Primary practice address
226 W Willow St Chicago IL 60614-5716
Phone: (312) 909-2116
Fax: (312) 915-0015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036.053269 Illinois

Profile Details

NPI number 1215482567
LBN Legal business name De Jong, David John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2016
Last updated Aug 16th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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