Individual provider · Type 1 NPI
Deborah Parra, PEDORTHIST
Pedorthist · Lansing, IL
NPI number
1013458827
Active
Practice location
3601 Ridge Rd
Lansing, IL 60438-3379
Fax (708) 418-0009
Mailing address
727 S Salem Dr
Schaumburg, IL 60193-2764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pedorthist Primary | 224L00000X | 212.000178 (IL) |
| Mastectomy Fitter | 224900000X | None listed |
| Orthotic Fitter | 225000000X | None listed |
Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
Another provider at this address
About NPI 1013458827
Deborah Parra, PEDORTHIST's National Provider Identifier is 1013458827, issued on Mar 13, 2017. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Lansing, IL. The record was last updated on Dec 22, 2021.