Individual
DEBRIA FILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16126 S PARK AVE, SOUTH HOLLAND, IL 60473-1581
(708) 299-2385
Mailing address
1106 N MASON AVE, CHICAGO, IL 60651-2506
(708) 299-2385
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
IL
224P00000X
Prosthetist
—
IL
Other
Enumeration date
01/16/2019
Last updated
03/18/2022
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