Individual
DR. DICK J DERKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7251 LAKE ST, RIVER FOREST, IL 60305-2238
(708) 366-9960
(708) 366-1585
Mailing address
1020 S WABASH AVE, UNIT 4C, CHICAGO, IL 60605-2256
(708) 870-3674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051289507
IL
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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