Most Relevant Information
Provider Data
| NPI Number: | 1003456039 |
| Provider Name: | DEBRA FARIDA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 209020339 |
Most Important Dates
| Enumeration Date: | 01/07/2020 |
| Last Updated: | 04/20/2022 |
Provider Practice Location
836 W WELLINGTON AVE
CHICAGO
IL
606575147
Practice Location Phone/Fax
| Phone: | 7739751600 |
| Fax: |
Provider Mailing Location
836 W WELLINGTON AVE
CHICAGO
IL
606575147
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |