| Doctor Name: | DR. DEREK C ARCHER |
| NPI Number: | 1629164256 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 36084401 |
| Business Practice Address: | 22n285 Pepper Rd Suite #103 Lake Barrington, IL - 600105982 |
| Business Phone Number: | 8477322739 |
| Business Fax Number: | |
| Mailing Address: | 410 Rosemary Rd, TORONTO |
| State: | ONTARIO |
| Postal Code: | M5P 3E5 |
| Phone Number: | 4166170102 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 09/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 36084401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |