Dejong, Andrew
Dejong, Andrew is an sole proprietor health care provider with primary practice located at 1801 E Lincoln Hwy , New Lenox IL 60451-3801. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Dejong, Andrew can be contacted via phone (815) 717-3601.Contact Information
Primary practice address
1801 E Lincoln Hwy
New Lenox IL 60451-3801
Phone: (815) 717-3601
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 2353028 | Illinois |
Profile Details
| NPI number | 1104593219 |
|---|---|
| LBN Legal business name | Dejong, Andrew |
| Credentials | SSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2021 |
| Last updated | Aug 26th, 2021 - about 5 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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