Derrick Dunmore

Clinical Social Worker · Bolingbrook, IL

Individual Active NPI

NPI number 1073335675

Practice location

246 Clubhouse St
Bolingbrook, IL 60490-2059
Phone
(630) 742-6899

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NPI record

NPI
1073335675
Entity type
Individual (Type 1)
Enumeration date
October 26, 2024
Last updated
October 26, 2024
Certified
October 26, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149026406 IL

About Derrick Dunmore

Derrick Dunmore is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 246 Clubhouse St, Bolingbrook, IL 60490-2059. The NPI number 1073335675 was assigned on October 26, 2024 and the record was last updated on October 26, 2024.

Derrick Dunmore lists a license in the registry: #149026406 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derrick Dunmore?

The NPI number is 1073335675.

What is the phone number of Derrick Dunmore?

The phone number listed for the practice location is (630) 742-6899.

Where is Derrick Dunmore located?

246 Clubhouse St, Bolingbrook, IL 60490-2059.

What is the taxonomy code for Derrick Dunmore?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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