Individual
DR. DEREK KYLE DEKERLEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1460 N HALSTED ST, SUITE 101, CHICAGO, IL 60642-2605
(312) 624-9397
Mailing address
1303 W EDDY ST, UNIT 2, CHICAGO, IL 60657-1431
(281) 229-2780
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295466
IL
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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