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Organization
GRAY HEALTH INC
Active
Organization
GRAY HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROVER GRAY WILSON (OWNER/OPERATOR)
(773) 373-9175
Entity
Organization
Contact information
Practice address
5015 N PAULINA ST STE 218, CHICAGO, IL 60640-2756
(773) 373-9175
Mailing address
5015 N PAULINA ST STE 218, CHICAGO, IL 60640-2756
(773) 373-9175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015915
IL
Other
Enumeration date
06/09/2016
Last updated
08/14/2026
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