Defronzo, Donna Jean

Defronzo, Donna Jean is an individual health care provider with primary practice located at 1455 E Golf Rd Suite 110, Des Plaines IL 60016-1250. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Defronzo, Donna Jean can be contacted via phone (847) 390-7666.

Contact Information

Primary practice address
1455 E Golf Rd Suite 110 Des Plaines IL 60016-1250
Phone: (847) 390-7666
Fax: (847) 390-9345
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016-004719 Illinois

Profile Details

NPI number 1164420774
LBN Legal business name Defronzo, Donna Jean
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Oct 30th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164420774 NPPES
Illinois MEDICAID 016004719
Illinois Other 60000380

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