MS. LISA GRAY

Contractor

Active Individual
NPI: 1639054190

Practice Address

815 W 63RD ST
Chicago, IL 60621

Phone: (877) 926-3936

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 84-5111204 (IL)

Frequently Asked Questions

NPI 1639054190 is the National Provider Identifier for MS. LISA GRAY, a Contractor provider located in Chicago, IL. This NPI was enumerated on August 6, 2025.
MS. LISA GRAY practices at 815 W 63RD ST, Chicago, IL 60621.

Quick Facts

NPI
1639054190
Type
Individual
Enumerated
Aug 6, 2025
Last Updated
Aug 6, 2025

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