Individual
DR. PAULA WILLOUGHBY DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-7297
Mailing address
4922T S CORNELL AVE, CHICAGO, IL 60615-3014
(773) 684-5294
(773) 684-5295
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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