Individual
DEREK J MARATEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 756-1521
Mailing address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 756-1521
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180-004151
IL
363A00000X
Physician Assistant
Primary
085-005525
IL
Other
Enumeration date
04/28/2009
Last updated
11/17/2015
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