Individual
DEREK PEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9465 S. WESTERN ROAD, CHICAGO, IL 60643
(773) 239-2734
(773) 239-2784
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023970
IL
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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