Individual
AUGUST GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18080 WOLF RD, ORLAND PARK, IL 60467-5407
(312) 554-5578
Mailing address
17519 MAPLE AVE, COUNTRY CLUB HILLS, IL 60478-4773
(708) 935-8027
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015953
IL
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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