Ma, Derek Ray

Ma, Derek Ray is an individual health care provider with primary practice located at 845 S Damen Ave , Chicago IL 60612-3727. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Ma, Derek Ray can be contacted via phone (312) 996-7800.

Contact Information

Primary practice address
845 S Damen Ave Chicago IL 60612-3727
Phone: (312) 996-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 041.412588 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.028458 Illinois

Profile Details

NPI number 1720861354
LBN Legal business name Ma, Derek Ray
Credentials DNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2023
Last updated Oct 17th, 2023 - about last year

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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