Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK REUBEN
Active Sole ProprietorDERRICK REUBEN is a Point of Service healthcare provider located in MATTESON, Illinois. NPI 1629733563 is currently active in the NPPES registry. Verify at CMS.
Point of Service · MATTESON, IL
Registration Details
- NPI Number
- 1629733563
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2021 (4.8037262238566 yrs)
- Last Updated
- Nov 4, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
4108 APPLEWOOD LNMATTESON, IL, 604431903Browse IL providers · Browse ZIP 60443
- Phone
- 7086995078
- Primary Specialty
-
Point of Service
305S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.