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

Dr. Derek Sean Bumgarner, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1861734683

Dr. Derek Sean Bumgarner, MD is an Anatomic Pathology & Clinical Pathology Physician in Maywood, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2160 S 1st Ave Dept OF Pathology Bldg 110 Rm 2209
Maywood, IL 60153-3328
Phone: (708) 216-3250
Fax: (708) 327-2620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 036.138853 (IL)

Record details

NPI number1861734683
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 19, 2013
Last updated in NPPESAugust 7, 2015
Mailing address2160 S 1st Ave, Department Of Pathology Building 110 Room 2209, Maywood, IL 60153-3328

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