Active NPIIndividual provider

Derek Ilg

Nurse Practitioner in Lowell, Massachusetts

NPI Number1699531954
Practice location
295 Varnum Ave, Lowell, MA 01854-2134
Fax
—
Last updated
February 26, 2024

Derek Ilg is a Nurse Practitioner based in Lowell, MA. Derek Ilg practices in Lowell, MA. The NPI Number for Derek Ilg is 1699531954 and holds a License No. 265820 (MA). The current practice location address for Derek Ilg is 295 Varnum Ave, Lowell, MA 01854-2134 and can be reached out via phone at 978-937-6237.

Provider Profile Details

NPI Number
1699531954
Provider Name
Derek Ilg
Provider Entity Type
Individual
Gender
Male
Address
295 Varnum Ave, Lowell, MA 01854-2134
Phone Number
978-937-6237
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
February 26, 2024
Last Update Date
February 26, 2024
Certification Date
February 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
295 Varnum Ave
Lowell, MA 01854-2134
City
Lowell
Zip
01854-2134
Phone Number
978-937-6237
Lowell, MA 01854Get directions →

Provider Business Mailing Address Details

Address
7 Needham St
North Chelmsford, MA 01863-1637
City
North Chelmsford
State
MA
Zip
01863-1637
Phone Number
978-337-2450

License Information

License Number
265820
License State
MA
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Derek Ilg?

The NPI number of Derek Ilg is 1699531954. It was assigned on February 26, 2024 and is currently active in the NPPES registry.

What is the specialty of Derek Ilg?

Derek Ilg is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 265820.

Where does Derek Ilg practice?

The practice location is 295 Varnum Ave, Lowell, MA 01854-2134. The office can be reached at 978-937-6237 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699531954 directly on the NPPES registry website.

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