DR. DEREK KYLE DEKERLEGAND (NPI# 1295003309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295003309 |
| Entity Type | Individual |
| Full Name | DR. DEREK KYLE DEKERLEGAND |
| Credential | PHARM. D. |
| Practice Address |
1460 N Halsted St Suite 101 Chicago IL 60642-2605 |
| Mailing Address |
1303 W Eddy St Unit 2 Chicago IL 60657-1431 |
| Practice Telephone | 3126249397 |
| Mailing Telephone | 2812292780 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051295466 | IL | Pharmacy Service Providers |
| Street Address |
1460 N HALSTED ST SUITE 101 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60642-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235123084 | Youn Joo Hong | Pediatrics | 1460 N Halsted St, Suite 402, Chicago, IL 60642 | 2005-09-08 |
| 1083159487 | Caitrin Standring | Physician Assistant | 1460 N Halsted St, Suite 505, Chicago, IL 60642-2605 | 2016-12-21 |
| 1801330600 | Devin Carey Mcnulty | Psychologist | 1460 N Halsted St, #402, Chicago, IL 60642-2605 | 2016-12-13 |
| 1487012811 | Michelle Garcia | Nurse Practitioner | 1460 N Halsted St, Chicago, IL 60642-2605 | 2016-01-30 |
| 1134590995 | Lurie Childrens Primary Care LLC | Pediatrics | 1460 N Halsted St, Suite 402, Chicago, IL 60642-2605 | 2015-10-19 |
| 1568869469 | Meghan Closser | Nurse Practitioner | 1460 N Halsted St, Suite 401, Chicago, IL 60642-2605 | 2014-11-21 |
| 1265836282 | Emily Rebekah Corley | Psychologist | 1460 N Halsted St, Suite 504, Chicago, IL 60642-2605 | 2014-10-20 |
| 1821400235 | Beth Rachel Rubin | Social Worker | 1460 N Halsted St, Chicago, IL 60642 | 2014-05-20 |
| 1750703104 | Katie Faragher | Nurse Practitioner | 1460 N Halsted St, Suite 402, Chicago, IL 60642-2605 | 2014-01-18 |
| 1568803625 | Divya Asher | Physician Assistant | 1460 N Halsted St, Suite 501, Chicago, IL 60642-2605 | 2013-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612542 | Lauren Gregorcy | Social Worker | 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 | 2018-06-11 |
| 1811409030 | Athletico Ltd | Physical Therapist | 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 | 2017-10-27 |
| 1346759693 | Rachel Sherron | Counselor | 938 N Elston, #1, Chicago, IL 60642 | 2017-09-28 |
| 1639612831 | Empathic Resonance, LLC | Clinic/Center | 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 | 2016-11-21 |
| 1053867317 | D Jamieson Brady | Dentist | 1249 N Greenview Ave Apt 1, Chicago, IL 60642 | 2016-08-28 |
| 1548646508 | Kathryn Lee | Massage Therapist | 742 N Ada St, Unit 1, Chicago, IL 60642 | 2015-07-31 |
| 1497149694 | Neda Bahrani | Family Medicine | 1460 N Halsted St Ste 401, Chicago, IL 60642 | 2015-03-25 |
| 1326439431 | Sarah Perez | Counselor | 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 | 2015-02-11 |
| 1780097105 | Michael Sotiriou | Dermatology | 1765 N Elston Ave Ste 110, Chicago, IL 60642 | 2014-06-03 |
| 1285067876 | Tyler Pere Choate | Speech-Language Pathologist | 400 N. May Street, Chicago, IL 60642 | 2013-08-19 |
| Find all providers in zip 60642 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1003416439 | Denise Venketramen | Pharmacist | 939 W Madison St Apt 310, Chicago, IL 60607-2656 | 2020-10-26 |
| 1427657063 | Sundis I Islefo | Pharmacist | 2647 W Rascher Ave Apt 2w, Chicago, IL 60625-3106 | 2020-10-24 |
| 1497353361 | Eleanor English | Pharmacist | 910 W Huron St Unit 1209, Chicago, IL 60642-5968 | 2020-10-13 |
| 1942808001 | Iris Esmeralda Gutierrez | Pharmacist | 3343 S Leavitt St, Chicago, IL 60608-6018 | 2020-10-12 |
| 1417564790 | Tara Airola | Pharmacist | 857 N Marshfield Ave Unit 1, Chicago, IL 60622-5132 | 2020-09-30 |
| 1174137129 | Tangtang Zhao | Pharmacist | 9148 S Commercial Ave, Chicago, IL 60617-4307 | 2020-09-06 |
| 1710591334 | Karolina Maculewicz | Pharmacist | 371 W Ontario St, Chicago, IL 60654-5716 | 2020-09-01 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1245844026 | Rachel Klepacz | Pharmacist | 101 N Clinton St, Chicago, IL 60661-1505 | 2020-08-31 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.