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DEREK KOON
NPI 1306596671
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since March 28, 2022
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2000 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derek Koon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK KOON (NPI 1306596671) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1306596671
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK KOON
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address2015 Bond RdDeland, FL 32720-4531
Phone(309) 655-2000
Sole ProprietorYes
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1306596671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

530 NE GLEN OAK AVE, Peoria, IL 61637
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Reviews for DEREK KOON

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

MISS CARA L PHILLIPS PHARMD
Pharmacist
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2285
SAMIR SAXENA MD
Internal Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-8818
CENTRAL ILLINOIS PATHOLOGY, SC
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9011
DR. RAHUL K. CHAWLA MD
Pediatrics (Pediatric Critical Care Medicine)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2250
DR. LAYNE T. LOVELL M.D.
Family Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
MICHELLE L BERTKE APN,CNP
Nurse Practitioner (Family)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2312
PAMELA PECENKA ANP
Nurse Practitioner
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2323
MARC D SQUILLANTE D.O.
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
JOSEPH A SOTTILE M.D.
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
JOANNA C GARDNER M.D.
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
GREG J TUDOR M.D.
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
LISA T BARKER M.D.
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
RICHARD F MILLER M.D.
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
PAUL M MATTHEWS M.D.
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
JOHN W HAFNER M.D.
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
TIMOTHY J SCHAEFER M.D.
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
TROY S CUTLER M.D.
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
MICHAEL A CRUZ M.D.
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
LUCILLE A FENDRICK M.D.
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
MARI B BAKER M.D.
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553

Frequently Asked Questions

What is Derek Koon's NPI number?

The NPI number assigned to this healthcare provider is 1306596671, enumerated as an "individual" on March 28, 2022.

Where is the provider located?

The provider is located at 530 NE GLEN OAK AVE PEORIA, IL 61637 and the phone number is (309) 655-2000.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.