| Jose Marie Cornelio Derla, RN | |
|
2400 Michael Ave, Zion, IL 60099-9224 | |
| (224) 353-9424 | |
| Not Available |
| Full Name | Jose Marie Cornelio Derla |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 2400 Michael Ave, Zion, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386965754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 041.359360 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Marie Cornelio Derla, RN 2400 Michael Ave, Zion, IL 60099-9224 Ph: (224) 353-9424 | Jose Marie Cornelio Derla, RN 2400 Michael Ave, Zion, IL 60099-9224 Ph: (224) 353-9424 |
Sherri Vinci, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2216 20th St, Zion, IL 60099 Phone: 847-445-4633 | |
Brittany Wyld, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2520 Elisha Ave, Zion, IL 60099 Phone: 520-405-3296 | |
Sandra Beta, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2520 Elisha Ave, Zion, IL 60099 Phone: 847-872-4716 | |
Carissa Wozny, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2216 20th St, Zion, IL 60099 Phone: 847-445-4633 | |
Benjamin Galace, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2216 20th St, Zion, IL 60099 Phone: 847-746-8316 | |
Amy Anne Wisniewski, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2520 Elisha Ave, Zion, IL 60099 Phone: 847-872-6430 |