Individual provider · Type 1 NPI
Carolle M. Derradji
Family Nurse Practitioner · Chicago, IL
NPI number
1265033385
Active
Practice location
3256 W Potomac Ave
Chicago, IL 60651-2411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.022245 (IL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1265033385
Carolle M. Derradji's National Provider Identifier is 1265033385, issued on Nov 4, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Nov 4, 2020.