Provider Demographics
NPI:1235123522
Name:KARAS, DEBORAH CHISHOLM (APN-BC,)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:CHISHOLM
Last Name:KARAS
Suffix:
Gender:F
Credentials:APN-BC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20770 JUNIPER LN
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-2900
Mailing Address - Country:US
Mailing Address - Phone:847-477-3134
Mailing Address - Fax:847-574-8064
Practice Address - Street 1:108 S WYNSTONE PARK DR STE 116
Practice Address - Street 2:
Practice Address - City:N BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-6923
Practice Address - Country:US
Practice Address - Phone:847-477-3134
Practice Address - Fax:847-574-8064
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-004944363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK13892Medicare UPIN