Derus, Charles L

Derus, Charles L is an individual health care provider with primary practice located at 1870 W Galena Blvd , Aurora IL 60506-4356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Derus, Charles L can be contacted via phone (630) 859-6700.

Contact Information

Primary practice address
1870 W Galena Blvd Aurora IL 60506-4356
Phone: (630) 859-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X Illinois

Profile Details

NPI number 1316963689
LBN Legal business name Derus, Charles L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316963689 NPPES
Other P00928 INDIVIDUAL MEDICARE #

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