Derek J Maratea L.C.P.C

NPI 1699919118 - Counselor - 101YP2500X

NPI Details
NPI 1699919118
Gender Male
Enumeration Date 04/28/2009
Last Updated 11/17/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
1 KISH HOSPITAL DR
DEKALB IL, 60115-9602, US
Phone (815) 756-1521
Fax
Business Location
1 KISH HOSPITAL DR
DEKALB IL, 60115-9602, US
Phone (815) 756-1521
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 180-004151
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According to our database, Derek J Maratea L.C.P.C NPI is 1699919118, taxonomy code is 101YP2500X and license number is 180-004151, license state is located at Illinois. Derek J Maratea L.C.P.C physically located at 1 Kish Hospital Dr, Dekalb IL, 60115-9602. NPI Number Derek J Maratea L.C.P.C has the Individual type.

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1699919118 NPI number is provided on an as is basis without warranty of any kind. 1699919118 is maintained by the National Plan & Provider Enumeration System. The contents of Derek J Maratea L.C.P.C are for informational purposes only.