Individual
JANAY MCGREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
5022 THOMAS DR, RICHTON PARK, IL 60471-1638
(708) 855-1715
Mailing address
22332 GOVERNORS HWY, RICHTON PARK, IL 60471-4456
(708) 855-1715
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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