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

Therese Conui Derecho

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1245198936

Therese Conui Derecho is a Nurse Practitioner in Lombard, Illinois. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2026

Practice location Address checks out

246 E Janata Blvd Ste 245
Lombard, IL 60148-5382
Phone: (773) 562-2774
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209.034405 (IL)

Record details

NPI number1245198936
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address246 E Janata Blvd Ste 245, Lombard, IL 60148-5382

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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