Individual
DEREK S WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(800) 543-7362
Mailing address
225 EAST CHICAGO AVE, DIVISION OF PEDIATRIC CRITICAL CARE, CHICAGO, IL 60611-2991
(800) 543-7362
(312) 227-9753
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
036151474
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036151474
—
IL
Enumeration date
05/17/2006
Last updated
02/26/2020
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