DR. DAVID JOHN DE JONG (NPI# 1215482567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215482567 |
Entity Type | Individual |
Full Name | DR. DAVID JOHN DE JONG |
Other Name | DR. DAVID JOHN DE JONG |
Credential | M.D. |
Practice Address |
226 W Willow St Chicago IL 60614-5716 |
Practice Telephone | 3129092116 |
Practice Fax Number | 3129150015 |
Mailing Telephone | 3129092116 |
Mailing Fax Number | 3129150015 |
Enumeration Date | 2016-08-16 |
Last Update Date | 2016-08-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 036.053269 | IL | Allopathic & Osteopathic Physicians |
Street Address |
226 W WILLOW ST |
City | CHICAGO |
State | IL |
Zip Code | 60614-5716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
Find all providers in zip 60614 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
1952809451 | Josie M Abogast | General Practice | 3219 N. Clark St., Chicago, IL 60657 | 2018-01-30 |
1043759939 | Royalty Intervention Group Inc | General Practice | 10307 S Peoria St, Suite 100, Chicago, IL 60643-3007 | 2017-02-13 |
1720474885 | Healthwise Medical Clinic LLC | General Practice | 8349 S Baltimore Ave, Chicago, IL 60617-2110 | 2015-04-15 |
1578952321 | Joseph Lawrence Mcdevitt | General Practice | 2650 N Orchard St Apt 2f, Chicago, IL 60614-1576 | 2015-01-16 |
1548662851 | Healthjoy | General Practice | 208 W Huron St, Chicago, IL 60654-3913 | 2014-09-17 |
1629478359 | Alivio Medical Center | General Practice | 1450-1510 W. Cermak Road, Chicago, IL 60608 | 2014-08-29 |
1699193409 | Kenya R Thomas | General Practice | 1133 E 83rd St Unit 108, Chicago, IL 60619-6464 | 2014-03-31 |
1649612961 | Steven Craig Fox | General Practice | 125 North Halsted Street, Suite 303, Chicago, IL 60661-2156 | 2013-07-29 |
Find all providers in CHICAGO |
Please comment or provide details below to improve the information on DR. DAVID JOHN DE JONG.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.