Defronzo, Donna Jean
Defronzo, Donna Jean is an individual health care provider with primary practice located at 1455 E Golf Rd Suite 110, Des Plaines IL 60016-1250. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Defronzo, Donna Jean can be contacted via phone (847) 390-7666.Contact Information
Primary practice address
1455 E Golf Rd Suite 110
Des Plaines IL 60016-1250
Phone: (847) 390-7666
Fax: (847) 390-9345
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016-004719 | Illinois |
Profile Details
NPI number | 1164420774 |
---|---|
LBN Legal business name | Defronzo, Donna Jean |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2005 |
Last updated | Oct 30th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164420774 | NPPES |
Illinois | MEDICAID | 016004719 | |
Illinois | Other | 60000380 |
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