Individual
DEREK RYAN WURSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
968 BLACKHAWK DR, ELGIN, IL 60120-2004
(331) 231-8421
Mailing address
968 BLACKHAWK DR, ELGIN, IL 60120-2004
(331) 231-8421
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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