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Individual

MRS. MEGAN JOY DEJONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
15300 WEST AVE, SUITE 120, ORLAND PARK, IL 60462
(708) 590-5304
(708) 590-5308
Mailing address
12251 S. 80TH AVENUE, SUITE 1630, PALOS HEIGHTS, IL 60463-1256
(708) 590-5304
(708) 590-5308

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036.131076
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036131076
IL
Enumeration date
07/06/2008
Last updated
02/17/2022
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