Derus, Charles L
Derus, Charles L is an individual health care provider with primary practice located at 1870 W Galena Blvd , Aurora IL 60506-4356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Derus, Charles L can be contacted via phone (630) 859-6700.Contact Information
Primary practice address
1870 W Galena Blvd
Aurora IL 60506-4356
Phone: (630) 859-6700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | Illinois |
Profile Details
| NPI number | 1316963689 |
|---|---|
| LBN Legal business name | Derus, Charles L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316963689 | NPPES |
| Other | P00928 | INDIVIDUAL MEDICARE # |
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