Individual
MS. DIANE ELAINE DEJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
325 N LARCH AVE, ELMHURST, IL 60126-2311
(630) 782-1316
Mailing address
325 N LARCH AVE, ELMHURST, IL 60126-2311
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/08/2008
Last updated
11/19/2008
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