Individual
GREGORY VAYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 990-5173
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.346932
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.008252
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00911928
RAILROAD MEDICARE
IL
Enumeration date
07/20/2010
Last updated
06/26/2024
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