SearchIllinois367500000X

Derek Humphres, CRNA

NPI 1942981766 · on the registry since 2023

Practice

Address
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone
(309) 692-5393
Fax
(309) 683-9998
Organisation at this address
Associated Anesthesiologists, Sc
Associated Anesthesiologists, S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-25

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