Individual
DR. GLADYS LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DN
Contact information
Practice address
4107 W BELMONT AVE, CHICAGO, IL 60641-4617
(773) 710-9457
Mailing address
4107 W BELMONT AVE, CHICAGO, IL 60641-4617
(773) 710-9457
Taxonomy
Speciality
Code
Description
License number
State
172P00000X
Naprapath
Primary
181.000406
IL
172P00000X
Naprapath
—
—
174400000X
Specialist
181.000406
IL
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
181.000406
IL
208100000X
Physical Medicine & Rehabilitation Physician
181.000406
IL
225700000X
Massage Therapist
—
—
Other
Enumeration date
07/08/2021
Last updated
10/06/2021
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