Individual
CHANTEL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
10540 S WESTERN AVE, CHICAGO, IL 60643-2536
(872) 400-6113
Mailing address
7950 S PAXTON AVE, CHICAGO, IL 60617-1595
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150129176
IL
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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