Individual
DEREK WOLKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
431 W LIBERTY ST, WAUCONDA, IL 60084-2452
(847) 526-2151
Mailing address
431 W LIBERTY ST, WAUCONDA, IL 60084-2452
(847) 526-2151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014676
IL
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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