NPI 1245530609

Elisa Marie de Jong, CO

Practitioner Orthotist Chicago, IL

Practice location

Address: 2300 N Childrens Plz Box #46, Chicago, IL 60614-3363
Phone: (773) 327-1022
Fax: (773) 327-1054

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1245530609
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2010
Record last updated: 1 Nov 2010

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.