| Doctor Name: | RAYMOND PRANADA |
| NPI Number: | 1497014237 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 070016146 |
| Business Practice Address: | 103 Misty Cv Savoy, IL - 618749598 |
| Business Phone Number: | 2179797251 |
| Business Fax Number: | |
| Mailing Address: | 103 Misty Cv, SAVOY |
| State: | IL |
| Postal Code: | 618749598 |
| Phone Number: | 2179797251 |
| Fax Number: | |
| NPI Enumeration Date: | 05/14/2012 |
| NPI Last Update Date: | 05/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251C2600X |
| License Number: | 070016146 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Cardiopulmonary |
| Taxonomy Definition: | |