Derengowski, Jacalyn Ann
Derengowski, Jacalyn Ann is an sole proprietor health care provider with primary practice located at 1675 Dempster St Fl 3 , Park Ridge IL 60068-1110. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Derengowski, Jacalyn Ann can be contacted via phone (847) 318-9330.Contact Information
Primary practice address
1675 Dempster St Fl 3
Park Ridge IL 60068-1110
Phone: (847) 318-9330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 070-010332 | Illinois |
Profile Details
| NPI number | 1306974811 |
|---|---|
| LBN Legal business name | Derengowski, Jacalyn Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Oct 6th, 2022 - about 4 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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