RICHARD C DERBY

HSHS MEDICAL GROUP INC

Dr RICHARD C DERBY is a male medical professional, specializing in Family Medicine. He graduated in 1994 from University Of Vermont College Of Medicine.

Contact

HSHS MEDICAL GROUP INC

5 LUDWIG DR
FAIRVIEW HEIGHTS
IL
622081332

Tel: 6183979000

RICHARD C DERBY Information

Npi 1295720845
Pac Id 9436332178
Professional Enrollment Id I20110317000893
Last Name DERBY
First Name RICHARD
Middle Name C
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year 1994
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1 SPORTS MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties SPORTS MEDICINE
Organization Legal Name HSHS MEDICAL GROUP INC
Group Practice Pac Id 5092857821
Number Of Group Practice Members 409
Line 1 Street Address 5 LUDWIG DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FAIRVIEW HEIGHTS
State IL
Zip Code 622081332
Phone Number 6183979000
Hospital Affiliation Ccn 1 140187
Hospital Affiliation Lbn 1 HSHS ST ELIZABETH'S HOSPITAL
Hospital Affiliation Ccn 2 141349
Hospital Affiliation Lbn 2 SPARTA COMMUNITY HOSPITAL
Hospital Affiliation Ccn 3 140185
Hospital Affiliation Lbn 3 MEMORIAL HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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