Individual
DERRICK GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 W BRADLEY PL STE 100, CHICAGO, IL 60618-4716
(877) 552-6672
Mailing address
4042 S WABASH AVE, CHICAGO, IL 60653-2153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149028878
IL
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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