Individual
ALEX AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 N WOLF RD, WHEELING, IL 60090-2922
(847) 353-1500
Mailing address
1111 W LAKE COOK RD, BUFFALO GROVE, IL 60089-1926
(847) 353-1758
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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