Individual
THERESE CONUI DERECHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
246 E JANATA BLVD STE 245, LOMBARD, IL 60148-5382
(773) 562-2774
Mailing address
246 E JANATA BLVD STE 245, LOMBARD, IL 60148-5382
(773) 562-2774
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.034405
IL
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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