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Contact Information

JAYDIENNE PAULISA C FONTEJON, DPM
10 E 22ND ST STE 205
LOMBARD, IL60148-6108
 Phone: 630-953-8088
 Fax: 630-953-8094
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JAYDIENNE PAULISA C FONTEJON · (Female)

NPI Number 1225612096
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/07/2021
Last updated 09/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 016006055
Hospital affiliation(s) Not Available
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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