Individual
DEBORAH ANN BIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9645 S WESTERN AVE, CHICAGO, IL 60643-1722
(773) 239-2734
(773) 239-2784
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070002655
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00758838
MEDICARE RR
IL
01
—
P00943087
MEDICARE RAILROAD
IL
Enumeration date
03/01/2007
Last updated
01/13/2015
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