IndividualActive
Marc Dejong, MD
NPI 1477549541 · Sports Medicine (Internal Medicine) Physician · Springfield, IL
Provider details
- NPI number
- 1477549541
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036114259 (IL)
Practice location
800 N 1st St
Springfield, IL 62702-3719
Phone: (217) 528-7541
Fax: (217) 527-1103
Mailing address
1025 S 6th St
Springfield, IL 62703-2403
Registry dates
- Enumerated
- 2005-09-23
- Last updated
- 2020-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.