Miriam Tamara Derman, RN, LAC - Acupuncturist in Evanston, IL

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Miriam Tamara Derman, RN, LAC is a Acupuncturist based in Evanston, Illinois. Miriam Tamara Derman is licensed to practice in Illinois (license number 198.000716) and her current practice location is 2530 Crawford Ave Ste 108, Evanston, Illinois. She can be reached at her office (for appointments etc.) via phone at (847) 323-2002.

NPI number for Miriam Tamara Derman is 1427202175 and her current mailing address is 2530 Crawford Ave Ste 108, Evanston, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427202175.

Contact Information

Miriam Tamara Derman, RN, LAC
2530 Crawford Ave Ste 108,
Evanston, IL 60201-4954
(847) 323-2002
Not Available

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Provider's Profile

Full NameMiriam Tamara Derman
GenderFemale
SpecialityAcupuncturist
Location2530 Crawford Ave Ste 108, Evanston, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427202175
  • Provider Enumeration Date: 11/07/2008
  • Last Update Date: 11/07/2008

Medical Identifiers

Medical identifiers for Miriam Tamara Derman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427202175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041-208828 (Illinois)Secondary
171100000XAcupuncturist 198.000716 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miriam Tamara Derman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miriam Tamara Derman, RN, LAC
2530 Crawford Ave Ste 108,
Evanston, IL 60201-4954

Ph: (847) 323-2002		Miriam Tamara Derman, RN, LAC
2530 Crawford Ave Ste 108,
Evanston, IL 60201-4954

Ph: (847) 323-2002

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