JOSE MARIE CORNELIO DERLA RN
NPI 1386965754
Registered Nurse - Psychiatric/Mental Health in Zion, IL

Q: What is Jose Marie Derla's NPI number?

The NPI number for Jose Marie Derla is 1386965754. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Q: What is Jose Marie Derla's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jose Marie Derla was last updated on June 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2010

2400 MICHAEL AVE, ZION, IL 60099(224) 353-9424 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jose Marie Cornelio Derla Rn NPPES

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

JOSE MARIE CORNELIO DERLA RN (NPI 1386965754) is an individual psychiatric/mental health provider in Zion, Illinois, licensed in Illinois (041.359360) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1386965754

Entity TypeIndividualMale

Primary Taxonomy163WP0808X

Provider Legal NameJOSE MARIE CORNELIO DERLACredential: RN

Location Address2400 MICHAEL AVEZion, IL 60099-9224

Mailing Address2400 Michael AveZion, IL 60099-9224 · (224) 353-9424

Phone(224) 353-9424

Sole ProprietorNo

Enumeration DateJune 18, 2010

✔ NPI 1386965754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

License✔ Licensed in IL · 041.359360

2400 MICHAEL AVE, Zion, IL 60099

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH DERLA

Occupational Therapy Assistant

2400 MICHAEL AVE
ZION, IL 60099

Lake County (224) 353-9424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Marie Derla's NPI number?

The NPI number for Jose Marie Derla is 1386965754. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Jose Marie Derla located?

Jose Marie Derla practices at 2400 Michael Ave, Zion, IL 60099. The listed phone number is (224) 353-9424.

What is Jose Marie Derla's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Jose Marie Derla was last updated on June 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.