Individual
DR. NATHAN EVERETT DERHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5368
Mailing address
444 WASHINGTON BLVD APT 204, UNIT 204, OAK PARK, IL 60302-4060
(708) 386-1928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036115662
IL
208000000X
Pediatrics Physician
036115662
IL
208M00000X
Hospitalist Physician
Primary
036115662
IL
Other
Enumeration date
04/25/2007
Last updated
01/31/2024
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