Search › Illinois › 103TC0700X
David Derita, PHD
NPI 1124253547 · on the registry since 2009 · sole proprietor
Practice
- Address
- 215 W Lake Shore Dr
Tower Lakes, IL 60010 - Phone
- (847) 526-6557
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-05-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois