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Individual

JONATHAN D LIMPERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
626 BETHANY ROAD, DEKALB, IL 60115-4929
(815) 756-1521
Mailing address
626 BETHANY ROAD, DEKALB, IL 60115-4929
(815) 756-1521

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036063115
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036063115
IL
Enumeration date
10/03/2006
Last updated
12/13/2021
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