Preston, Debara

Preston, Debara is an sole proprietor health care provider with primary practice located at 1801 W Taylor St Ste 2E , Chicago IL 60612-4795. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Preston, Debara can be contacted via phone (312) 996-1795.

Contact Information

Primary practice address
1801 W Taylor St Ste 2E Chicago IL 60612-4795
Phone: (312) 996-1795
Fax: (312) 996-8218
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209012224 Illinois

Profile Details

NPI number 1477150936
LBN Legal business name Preston, Debara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2020
Last updated Dec 21st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477150936 NPPES
Illinois Other 209012224 ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

Popular Providers