Search › Illinois › 172P00000X
Gladys Lara, DN
NPI 1568033629 · on the registry since 2021
Practice
- Address
- 4107 W Belmont Ave
Chicago, IL 60641 - Phone
- (773) 710-9457
- Organisation at this address
- Pure Bodyworks
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172P00000X
172P00000X
- Also registered as
- 172P00000X
174400000X
204C00000X
208100000X
225700000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois