Diestelkamp, Elissa

Diestelkamp, Elissa is an sole proprietor health care provider with primary practice located at 28 Wingate Dr , Oswego IL 60543-7911. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Diestelkamp, Elissa can be contacted via phone (630) 768-5685.

Contact Information

Primary practice address
28 Wingate Dr Oswego IL 60543-7911
Phone: (630) 768-5685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1730615279
LBN Legal business name Diestelkamp, Elissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2017
Last updated May 3rd, 2017 - 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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