Individual
DR. DAVID JOHN DE JONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
226 W WILLOW ST, CHICAGO, IL 60614-5716
(312) 909-2116
(312) 915-0015
Mailing address
226 W WILLOW ST, CHICAGO, IL 60614-5716
(312) 909-2116
(312) 915-0015
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036.053269
IL
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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