Provider Demographics
NPI:1285234518
Name:DRAPER, SIERA MAE (DC)
Entity type:Individual
Prefix:
First Name:SIERA
Middle Name:MAE
Last Name:DRAPER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SIERA
Other - Middle Name:MAE
Other - Last Name:RALLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:131 N BELLWOOD DR STE B
Mailing Address - Street 2:
Mailing Address - City:EAST ALTON
Mailing Address - State:IL
Mailing Address - Zip Code:62024-2088
Mailing Address - Country:US
Mailing Address - Phone:618-259-3333
Mailing Address - Fax:618-259-3334
Practice Address - Street 1:131 N BELLWOOD DR STE B
Practice Address - Street 2:
Practice Address - City:EAST ALTON
Practice Address - State:IL
Practice Address - Zip Code:62024-2088
Practice Address - Country:US
Practice Address - Phone:618-259-3333
Practice Address - Fax:618-259-3334
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013613111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor