Individual
DEREK A MELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 W 162ND ST, SOUTH HOLLAND, IL 60473-2003
(708) 730-2200
(708) 210-0625
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036145502
IL
208M00000X
Hospitalist Physician
036145502
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036145502
—
IL
Enumeration date
01/05/2007
Last updated
05/30/2023
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