Individual
DEREK MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 MAIN ST, PEORIA, IL 61606-1907
(309) 495-0200
(309) 676-6545
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036175746
IL
Other
Enumeration date
04/22/2020
Last updated
08/12/2025
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