Individual
DR. DERRICK FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE # MC3077, CHICAGO, IL 60637-1443
(773) 702-8595
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.144993
IL
Other
Enumeration date
06/05/2014
Last updated
02/21/2018
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