Individual
LYREC HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
Mailing address
6450 S MARYLAND AVE APT 2F, CHICAGO, IL 60637-3500
(708) 800-2908
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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