Provider Demographics
NPI:1770023822
Name:BIAS, DARSHE
Entity Type:Individual
Prefix:MS
First Name:DARSHE
Middle Name:
Last Name:BIAS
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 1:7325 S LUELLA AVE # 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-3218
Mailing Address - Country:US
Mailing Address - Phone:312-477-1381
Mailing Address - Fax:
Practice Address - Street 1:7325 S LUELLA AVE # 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-3218
Practice Address - Country:US
Practice Address - Phone:312-477-1381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency