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Individual

DANIEL DJONDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2160 S 1ST AVE, ROOM 7609, MAYWOOD, IL 60153-3328
(708) 216-8757
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-6497
(708) 216-1259

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036140704
IL
207RP1001X
Pulmonary Disease Physician
Primary
036140704
IL

Other

Enumeration date
04/08/2013
Last updated
07/26/2021
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