NPI 1063919959 · live from the CMS NPI Registry
Derek Franco, MD
Radiology, Diagnostic Radiology in Chicago, IL. National Provider Identifier 1063919959, active.
NPI record
| NPI | 1063919959 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 5841 S Maryland Ave # Mc2026, Chicago, IL 60637 |
| Practice phone | 773-702-3550 |
| Mailing address | 150 Harvester Dr Ste 300, Burr Ridge, IL 60527 |
| Enumerated | April 9, 2018 |
| Last updated | August 15, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 036160796 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.