Search › Illinois › 103TS0200X
Lisa Dejong
NPI 1508372871 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2311 Randolph St
Caledonia, IL 61011 - Phone
- (815) 547-1977
- Clinicians at this address
- 2
Additional practice sites
- 633 W Perry St, Belvidere, IL
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
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