Healthcare Provider Details

I. General information

NPI: 1013191089
Provider Name (Legal Business Name): ANDREA L. PARAS M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2007
Last Update Date: 12/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 CHILDREN'S PLAZA CHILDREN'S MEMORIAL HOSPITAL, GENETICS #59
CHICAGO IL
60614-3394
US

IV. Provider business mailing address

2300 CHILDREN'S PLAZA CHILDREN'S MEMORIAL HOSPITAL, GENETICS #59
CHICAGO IL
60614-3394
US

V. Phone/Fax

Practice location:
  • Phone: 773-880-4462
  • Fax: 773-929-9565
Mailing address:
  • Phone: 773-880-4462
  • Fax: 773-929-9565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: