Dejonge, Lydia Jael

Dejonge, Lydia Jael is an sole proprietor health care provider with primary practice located at 6305 W 95Th St Ste 200 , Oak Lawn IL 60453-2795. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Dejonge, Lydia Jael can be contacted via phone (708) 424-1300.

Contact Information

Primary practice address
6305 W 95Th St Ste 200 Oak Lawn IL 60453-2795
Phone: (708) 424-1300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 021.003285 Illinois
Dental Providers / Pediatric Dentistry 1223P0221X 019.032838 Illinois

Profile Details

NPI number 1164042198
LBN Legal business name Dejonge, Lydia Jael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2020
Last updated Oct 24th, 2023 - about 2 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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