Individual
MR. GREGORY WAYNE LILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.,CCC-A
Contact information
Practice address
2875 W 19TH ST, REHABILITATION, CHICAGO, IL 60623-3501
(773) 484-4150
Mailing address
3216 W LELAND AVE, CHICAGO, IL 60625-4415
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
IL
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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