Dejong, Lisa

Dejong, Lisa is an sole proprietor health care provider with primary practice located at 2311 Randolph St , Caledonia IL 61011-9321. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Dejong, Lisa can be contacted via phone (815) 547-1977.

Contact Information

Primary practice address
2311 Randolph St Caledonia IL 61011-9321
Phone: (815) 547-1977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1840449 Illinois

Profile Details

NPI number 1508372871
LBN Legal business name Dejong, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2017
Last updated Mar 17th, 2018 - about 7 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.

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