MEDICARE: RACHEL DERICKSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070029627	IL

General Provider Information

NPI Number	:	1356232714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL DERICKSON

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:	630-575-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 W SPRING CREEK RD
Second Line	:
City	:	EAST PEORIA
State	:	IL
Zip	:	61611-1346
Country	:	US
Telephone Number	:	309-282-4800
Fax Number	:	309-282-4801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	11/21/2025

Similar Medicare Providers

1770871147 — ZACHARY KIRKPATRICK PT
Practice Location Address:

123 W SPRING CREEK RD
EAST PEORIA, IL
61611-1346

Practice Phone: 309-282-4800
Practice Fax: 309-282-4801

1124306501 — DR. DUSTIN ROBERT BROWN PT, DPT, ATC, LAT
Practice Location Address:

123 W SPRING CREEK RD
EAST PEORIA, IL
61611-1346

Practice Phone: 309-282-4800
Practice Fax: 309-282-4801

1619362332 — ACCELERATED REHABILITATION CENTERS, LTD
Practice Location Address:

123 W SPRING CREEK RD
EAST PEORIA, IL
61611-1346

Practice Phone: 309-383-4708
Practice Fax: 309-282-4801

1265926729 — VOGUE DENTAL PEORIA LLC
Practice Location Address:

3510 N UNIVERSITY ST STE A
PEORIA, IL
61604-1346

Practice Phone: 203-215-4687
Practice Fax:

1801976329 — MOONEY & SHAMSBOD CHIROPRACTIC
Practice Location Address:

2501 EAST PALMDALE BLVD. , SUITE A
PALMDALE, CA
93550-1346

Practice Phone: 661-274-8725
Practice Fax: 661-274-8205

1295895332 — DR. DEBORAH MANZANO PSY. D.
Practice Location Address:

121 EAST ST
HEBRON, CT
06248-1346

Practice Phone: 860-266-7759
Practice Fax: 860-797-2430

Directions to “ RACHEL DERICKSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.