Organization
ADVANCE CARE MEDICAL MANAGEMENT ACMM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK A. HAGERTY FF/PM (OWNER)
(815) 414-4626
Entity
Organization
Contact information
Practice address
347 W CHURCH ST # A1, SANDWICH, IL 60548-2082
(815) 414-4626
Mailing address
347 W CHURCH ST # A1, SANDWICH, IL 60548-2082
(815) 414-4626
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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