Individual
DEREK LEE FIMMEN
Active
Individual
DEREK LEE FIMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.116382
IL
2085R0202X
Diagnostic Radiology Physician
18994C
WY
2085R0202X
Diagnostic Radiology Physician
Primary
2008019694
MO
2085R0202X
Diagnostic Radiology Physician
CDR.0006012
CO
2085R0202X
Diagnostic Radiology Physician
CP1792
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116382
—
IL
01
—
609080002
MEDICARE
IL
01
—
609330002
MEDICARE
IL
01
—
P00827959
MEDICARE RAILROAD
IL
Enumeration date
04/11/2007
Last updated
02/04/2026
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