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Individual

DR. JAYDIENNE PAULISA CRUZ FONTEJON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
10 E 22ND ST STE 205, LOMBARD, IL 60148-6108
(630) 953-8088
(630) 953-8094
Mailing address
10 E 22ND ST STE 205, LOMBARD, IL 60148-6108
(630) 953-8088
(630) 953-8094

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016006055
IL

Other

Enumeration date
05/07/2021
Last updated
09/30/2024
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