Individual
DEREK ILG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6237
Mailing address
7 NEEDHAM ST, NORTH CHELMSFORD, MA 01863-1637
(978) 337-2450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
265820
MA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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