Individual provider · Type 1 NPI
James F. Derk, D.P.M.
Foot & Ankle Surgery Podiatrist · Crest Hill, IL
NPI number
1578645313
Active
Practice location
1640 Willow Circle Dr Unit 200
Crest Hill, IL 60403-0960
Fax (815) 729-1374
Mailing address
950 N Kennedy Dr
Kankakee, IL 60901-2237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016-004278 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1578645313
James F. Derk, D.P.M.'s National Provider Identifier is 1578645313, issued on Oct 20, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Crest Hill, IL. The record was last updated on Sep 1, 2020.