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Search › Illinois › 1223P0221X

Lydia Dejonge, DDS

NPI 1164042198 · on the registry since 2020 · sole proprietor

Practice

Address
6305 W 95th St Ste 200
Oak Lawn, IL 60453
Phone
(708) 424-1300
Organisation at this address
Tom Trikolas Dds Pc
Southwest Oral Surgeons,P.C.
Pediatric Dental Specialists
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
390200000X
1223P0221X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois