Provider Demographics
NPI:1336799220
Name:BEJEC, DWIGHT (MS)
Entity Type:Individual
Prefix:
First Name:DWIGHT
Middle Name:
Last Name:BEJEC
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2582 WARM SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8400
Mailing Address - Country:US
Mailing Address - Phone:630-605-2881
Mailing Address - Fax:
Practice Address - Street 1:1555 NAPERVILLE WHEATON RD STE 101
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1559
Practice Address - Country:US
Practice Address - Phone:630-276-7922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional