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Jamie Diesetlhorst
NPI 1588957443 · on the registry since 2011 · sole proprietor
Practice
- Address
- 14905 Windy Hill Road
Bunker Hill, IL 62014 - Phone
- (618) 585-4546
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-05-25
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