Talbot, Derek Lewis

Talbot, Derek Lewis is an individual health care provider with primary practice located at 10 Phillip Rd Ste 114, Vernon Hills IL 60061-1730. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Talbot, Derek Lewis can be contacted via phone (847) 573-1300.

Contact Information

Primary practice address
10 Phillip Rd Ste 114 Vernon Hills IL 60061-1730
Fax: (847) 247-1333
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038009350 Illinois

Profile Details

NPI number 1336245786
LBN Legal business name Talbot, Derek Lewis
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336245786 NPPES
Illinois Other 04932059 BCBS

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