Individual
DERICK JOSEPH SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5375
(708) 684-1028
Mailing address
5001 EL PASO DR, EL PASO, TX 79905-2827
(915) 215-4360
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
03/29/2023
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