Provider Demographics
NPI:1811461437
Name:FILER, DEBRIA
Entity type:Individual
Prefix:
First Name:DEBRIA
Middle Name:
Last Name:FILER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CONSIDER IT DONE
Other - Middle Name:
Other - Last Name:CRANIAL PROSTHESIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HAIR LOSS SPECIALIST
Mailing Address - Street 1:1106 N MASON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60651-2506
Mailing Address - Country:US
Mailing Address - Phone:708-299-2385
Mailing Address - Fax:
Practice Address - Street 1:16126 S PARK AVE
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-1581
Practice Address - Country:US
Practice Address - Phone:708-299-2385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-16
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL224P00000X, 1744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist