Individual
DEBRA RAE CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
259 E ERIE ST, CHICAGO, IL 60611-2987
(312) 695-6868
Mailing address
680 N LAKE SHORE DR, CHICAGO, IL 60611-4546
(312) 695-6868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36097859
IL
Other
Enumeration date
02/13/2007
Last updated
01/18/2019
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