Provider Demographics
NPI:1568632958
Name:RANIERE, KARLA RUTH
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:RUTH
Last Name:RANIERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 N WAYNE AVE
Mailing Address - Street 2:C
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-3122
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2215 N WAYNE AVE
Practice Address - Street 2:C
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3122
Practice Address - Country:US
Practice Address - Phone:773-857-2455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist