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Maria De Jesus
NPI 1871037069 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3053 Hamlin Dr
Machesney Park, IL 61115 - Phone
- (815) 494-6374
- Fax
- (815) 394-1489
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-07
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