Individual
BRIAN LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
5113 S HARPER AVE STE 2C, CHICAGO, IL 60615-4119
(833) 717-4244
Mailing address
5128 W PATTERSON AVE, CHICAGO, IL 60641-3415
(773) 663-5297
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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