person
Jose Marie Cornelio Derla, RN
Psychiatric/Mental Health Registered Nurse in Zion, Illinois
NPI 1386965754

Jose Marie Cornelio Derla is a Psychiatric/Mental Health Registered Nurse based in Zion, IL and is specialized in Psychiatric/Mental Health. Jose Marie Cornelio Derla practices in Zion, IL and has the professional credentials of RN. The NPI Number for Jose Marie Cornelio Derla is 1386965754 and holds a License No. 041.359360 (Illinois).

The current practice location address for Jose Marie Cornelio Derla is 2400 Michael Ave, Zion, IL and can be reached out via phone at 224-353-9424.

Location: 2400 Michael Ave, Zion, IL, 60099-9224
person
Provider Profile Details
NPI Number
1386965754
Provider Name
Jose Marie Cornelio Derla
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
2400 Michael Ave, Zion, IL, 60099-9224
Phone Number
224-353-9424
Fax Number
Provider Enumeration Date
06/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2400 Michael Ave
City
State
Zip
60099-9224
Phone Number
224-353-9424
Fax Number
person
Provider Business Mailing Address Details
Address
2400 Michael Ave
City
State
Zip
60099-9224
Phone Number
224-353-9424
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
041.359360 (Illinois)
Definition
Definition to come...
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