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Contact Information

MARC R DEJONG, MD
800 N 1ST ST
SPRINGFIELD, IL62702-3719
 Phone: 217-528-7541
 Fax: 217-527-1103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARC R DEJONG · (Male)

NPI # 1477549541
Status Active
Credentials MD
Entity Individual
Enumeration date 09/23/2005
Last updated 05/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036114259
  • IL Medicaid 036114259
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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