Individual
MS. DEBORAH DARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
900 N LAKE SHORE DR, SUITE 803, CHICAGO, IL 60611-1500
(312) 266-1014
(312) 654-0031
Mailing address
900 N LAKE SHORE DR, SUITE 803, CHICAGO, IL 60611-1500
(312) 266-1014
(312) 654-0031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070008629
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622913
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/11/2006
Last updated
07/07/2008
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