Donna L Derose (NPI# 1285168120, PAC ID# 7416234505) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1285168120 |
| PAC ID by PECOS | 7416234505 |
| Professional Enrollment ID | I20170427000134 |
| Full Name | Donna L Derose |
| Organization Legal Name | MAIN ST PSYCHIATRY SC |
| Address |
5911 Northwest Hwy Suite 207 Crystal Lake IL 60014-8043 |
| Phone Number | 8155263781 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648535013 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5911 Northwest Hwy, Suite 207, Crystal Lake, IL 60014-8043 | 8155263781 | MAIN ST PSYCHIATRY SC |
| Organization Legal Name | MAIN ST PSYCHIATRY SC |
| Physicians | 1 |
| Street Address |
5911 NORTHWEST HWY SUITE 207 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip | 60014-8043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Syed W Haider | Internal Medicine | 5911 Northwest Hwy, Crystal Lake, IL 60014-8065 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Socha | Chiropractic | 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074 | |
| Mark D Lagerkvist | Chiropractic | Chiro One Wellness Center of Crystal Lake Sc | 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074 |
| Michael T Burns | Psychologist, Clinical | 610 Crystal Point Dr, Suite 3, Crystal Lake, IL 60014-1400 | |
| Kenneth E Heinrichs | Psychologist, Clinical | 755 E Mcardle Dr, Suite E, Crystal Lake, IL 60014-1717 | |
| Katherine A Galias | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Susan G Swanson | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Christy A Benton | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Roseann C Iverson | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Cynthia G Macdonald | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Michael S Lesser | Family Medicine | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Find all physicians in zip 60014 | |||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CRYSTAL LAKE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Donna L Derose.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.