Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Ilg

Individual provider Nurse Practitioner · NPI 1699531954

Derek Ilg is a Nurse Practitioner in Lowell, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024

Practice location Address checks out

295 Varnum Ave
Lowell, MA 01854-2134
Phone: (978) 937-6237
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 265820 (MA)

Record details

NPI number1699531954
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 24, 2024
Mailing address7 Needham St, North Chelmsford, MA 01863-1637

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