Individual
MR. GREGORY GARY COUNCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-1223
(847) 904-5022
(847) 998-8008
Mailing address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-1223
(847) 904-5022
(847) 998-8008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057000785
IL
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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