NPI 1225612096

Jaydienne Paulisa Cruz Fontejon, DPM

Practitioner Podiatrist Lombard, IL

Practice location

Address: 10 E 22nd St STE 205, Lombard, IL 60148-6108
Phone: (630) 953-8088
Fax: (630) 953-8094

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 016006055 (IL)

Other Podiatrist providers in Illinois →

Registry record

NPI: 1225612096
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 May 2021
Record last updated: 30 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.