NPI 1013458827

Deborah Parra, PEDORTHIST

Practitioner Pedorthist Lansing, IL

Practice location

Address: 3601 Ridge Rd, Lansing, IL 60438-3379
Phone: (708) 418-0000
Fax: (708) 418-0009
Mailing address: 727 S Salem Dr, Schaumburg, IL 60193-2764

Registered specialties (3)

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence 212.000178 (IL)

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Mastectomy Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1013458827
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2017
Record last updated: 22 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.