Pamela Booras, N.D.
Individual provider Active NPI Naturopath · Ottawa, IL
NPI 1295066645 · NPPES record last updated Jan 26, 2010
Key facts
- NPI
- 1295066645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- Practice address
- 1768 N 2759TH Rd
Ottawa, IL 61350-9375 - Phone
- (815) 433-5433
- NPI assigned
- Jan 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | Yes |
Addresses
Primary practice location
1768 N 2759TH Rd
Ottawa, IL 61350-9375
Mailing address
1768 N 2759TH Rd
Ottawa, IL 61350-9375
Phone (815) 433-5433
Other providers in Ottawa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.