DR. DAVID JOHN DE JONG


Address: 226 W Willow St, Chicago, IL 60614-5716
Phone: 3129092116

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 036.053269 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 226 W WILLOW ST
City CHICAGO
State IL
Zip Code 60614-5716

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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
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1699193409 Kenya R Thomas General Practice 1133 E 83rd St Unit 108, Chicago, IL 60619-6464 2014-03-31
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Competitor

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City CHICAGO
Zip Code 60614

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Dataset Information

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.

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