Search › Illinois › 224Z00000X
Derrick Palmer
NPI 1417784851 · on the registry since 2024 · sole proprietor
Practice
- Address
- 436 Magnolia Ave
Gurnee, IL 60031 - Phone
- (224) 201-7171
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-18
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