Individual
DEREK PECHACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
320 E HIGHWAY 50, O FALLON, IL 62269-2704
(618) 624-3368
(618) 624-3387
Mailing address
2804 LAKESIDE DR, COLUMBIA, IL 62236-2681
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-010889
IL
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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