Individual
GIA BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9101 S WESTERN AVE, SUITE1, CHICAGO, IL 60643-6751
(773) 779-3299
Mailing address
9101 S WESTERN AVE, SUITE1, CHICAGO, IL 60643-6751
(773) 779-3299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
227.001288
IL
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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