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Individual

DEREK DENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4800 S LAKE PARK AVE APT 306, CHICAGO, IL 60615-2044
(773) 580-5899
Mailing address
4800 S LAKE PARK AVE APT 306, CHICAGO, IL 60615-2044
(773) 580-5899

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
10/04/2021
Last updated
10/04/2021
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