LYDIA JAEL DEJONGE (DDS) – Pediatric Dentistry, NPI 1164042198
Pediatric Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LYDIA JAEL DEJONGE (DDS)
UIC PEDIATRIC DENTISTRY RESIDENCY
RM 256D (MC850) 801 S PAULINA ST
CHICAGO, IL 60613
Phone: (312) 413-7714
Type: Mailing
UNIVERSITY OF ILLINOIS HOSPITAL
1740 W. TAYLOR ST
CHICAGO, IL 60612
Phone: (866) 600-2273
Type: Location
6305 W 95TH ST STE 200
OAK LAWN, IL 604532795
Phone: (708) 424-1300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-09-15
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60613)
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