Derita, David James
Derita, David James is an sole proprietor health care provider with primary practice located at 215 W Lake Shore Dr , Tower Lakes IL 60010-1130. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Derita, David James can be contacted via phone (847) 526-6557.Contact Information
Primary practice address
215 W Lake Shore Dr
Tower Lakes IL 60010-1130
Phone: (847) 526-6557
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-002434 | Illinois |
Profile Details
| NPI number | 1124253547 |
|---|---|
| LBN Legal business name | Derita, David James |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2009 |
| Last updated | May 29th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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