Samara Derdiger, RDN is a
Dietitian, Registered based in Lincolnshire, Illinois. Samara Derdiger is licensed to practice in Illinois (license number 164009053) and her current practice location is
20817 N Horatio Blvd, Lincolnshire, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 946-3289.
NPI number for Samara Derdiger is 1912740390 and her current mailing address is 20817 N Horatio Blvd, Lincolnshire, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912740390.
Healthcare Provider's Profile
| Full Name | Samara Derdiger |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 20817 N Horatio Blvd, Lincolnshire, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912740390
- Provider Enumeration Date: 06/14/2024
- Last Update Date: 06/14/2024
Medical Identifiers
Medical identifiers for Samara Derdiger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912740390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | L007793 (North Carolina) | Secondary |
| 133V00000X | Dietitian, Registered | 164009053 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samara Derdiger is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Samara Derdiger, RDN 20817 N Horatio Blvd, Lincolnshire, IL 60069-9614 Ph: (847) 946-3289 | Samara Derdiger, RDN 20817 N Horatio Blvd, Lincolnshire, IL 60069-9614 Ph: (847) 946-3289 |
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