Provider Demographics
NPI:1992927610
Name:BANKS-LOWE, DEBRA (DT)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:
Last Name:BANKS-LOWE
Suffix:
Gender:F
Credentials:DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9415 S CLAREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-6246
Mailing Address - Country:US
Mailing Address - Phone:773-779-0059
Mailing Address - Fax:773-779-0059
Practice Address - Street 1:9415 S CLAREMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-6246
Practice Address - Country:US
Practice Address - Phone:773-779-0059
Practice Address - Fax:773-779-0059
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist