DR. JAMES F DERK (NPI# 1578645313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578645313 |
| Entity Type | Individual |
| Full Name | DR. JAMES F DERK |
| Credential | D.P.M. |
| Practice Address |
1640 Willow Circle Dr Unit 200 Crest Hill IL 60403-0960 |
| Mailing Address |
950 N Kennedy Dr Kankakee IL 60901-2237 |
| Practice Telephone | 8157290681 |
| Practice Fax Number | 8157291374 |
| Mailing Telephone | 8159331220 |
| Mailing Fax Number | 8154631864 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016-004278 | IL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1640 WILLOW CIRCLE DR UNIT 200 |
| City | CREST HILL |
| State | IL |
| Zip Code | 60403-0960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
| 1982237137 | Jena L. Margis | Counselor | Crossroads Counseling and Care Center, 1520 N. Rock Run Drive, Suite #14, Crest Hill, IL 60403 | 2020-02-17 |
| 1457845109 | Rachael Wiktor | Physical Therapy Assistant | 16101 Weber Road, Crest Hill, IL 60403 | 2018-06-17 |
| 1346613718 | Christopher Michael Galloway | Nurse Practitioner | 20660 Caton Farm Road, Unit F, Crest Hill, IL 60403 | 2015-11-07 |
| 1861758278 | Evaristo Peralta Aguinaldo Jr. | General Practice | 16300 Illinois 53, Crest Hill, IL 60403 | 2012-04-10 |
| 1366735250 | Jennifer Beckman | Social Worker | 1000 Remington 16151 Weber Road, Suite 101, Cresthill, IL 60403 | 2011-05-25 |
| 1083911283 | Olufunmilola Ayankoya | Nurse Practitioner | 16830 Il-53, Crest Hill, IL 60403 | 2011-02-24 |
| 1528205168 | Associated Foot Surgeons of Joliet Ltd | Clinic/Center | 2204 Weber Road, Crest Hill, IL 60403 | 2009-01-20 |
| 1417105917 | Dolar R Koya Md Sc | Dermatology | 2215 Theodore St, Cresthill, IL 60403 | 2008-09-09 |
| Find all providers in zip 60403 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174785547 | Absolute Medical Care Ltd | Podiatrist | 20637 W Renwick Rd, Crest Hill, IL 60403-9200 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
| Find all providers with the same taxonomy | ||||
| City | CREST HILL |
| Zip Code | 60403 |
Please comment or provide details below to improve the information on DR. JAMES F DERK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.