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Individual

JACALYN ANN DERENGOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1675 DEMPSTER ST FL 3, PARK RIDGE, IL 60068-1110
(847) 318-9330
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-6714
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070-010332
IL

Other

Enumeration date
02/28/2007
Last updated
10/06/2022
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