Individual
GREGORY E. PRONGER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 W LARAWAY RD STE 230, NEW LENOX, IL 60451-4117
(815) 717-1700
Mailing address
1005 W LARAWAY RD STE 230, NEW LENOX, IL 60451-4117
(815) 717-1700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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