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Derek Hennig, OD
NPI 1215466008 · on the registry since 2017
Practice
- Address
- 1700 18th St
Charleston, IL 61920 - Phone
- (217) 345-6600
- Fax
- (217) 345-6622
- Organisation at this address
- Mark D Esarey
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-06-06
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