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Individual

DEBORAH PARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PEDORTHIST

Contact information

Practice address
3601 RIDGE RD, LANSING, IL 60438-3379
(708) 418-0000
(708) 418-0009
Mailing address
727 S SALEM DR, SCHAUMBURG, IL 60193-2764
(708) 418-0008
(708) 418-0009

Taxonomy

Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
224L00000X
Pedorthist
Primary
212.000178
IL
225000000X
Orthotic Fitter

Other

Enumeration date
03/13/2017
Last updated
12/22/2021
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