Derrick, Matthew

Derrick, Matthew is an individual health care provider with primary practice located at 2650 Ridge Ave. Division Of Neonatology, Walgreen Bldg Rm 1505, Evanston IL 60201-1718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Derrick, Matthew can be contacted via phone (847) 570-2033.

Contact Information

Primary practice address
2650 Ridge Ave. Division Of Neonatology, Walgreen Bldg Rm 1505 Evanston IL 60201-1718
Phone: (847) 570-2033
Fax: (847) 570-0231
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036087810 Illinois

Profile Details

NPI number 1568544658
LBN Legal business name Derrick, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Mar 31st, 2021 - about 3 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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