Elissa Diestelkamp
Elissa Diestelkamp is a Student in an Organized Health Care Education/Training Program in Oswego, Illinois. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
28 Wingate DrOswego, IL 60543-7911
Phone: (630) 768-5685
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
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Record details
| NPI number | 1730615279 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 3, 2017 |
| Last updated in NPPES | May 3, 2017 |
| Mailing address | 28 Wingate Dr, Oswego, IL 60543-7911 |
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