Gray, David Stephen
Gray, David Stephen is an sole proprietor health care provider with primary practice located at 20854 W Genoa Ave , Lake Villa IL 60046-8957. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Gray, David Stephen can be contacted via phone (440) 714-8822.Contact Information
Primary practice address
20854 W Genoa Ave
Lake Villa IL 60046-8957
Phone: (440) 714-8822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178011708 | Illinois |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180011813 | Illinois |
Profile Details
| NPI number | 1649636077 |
|---|---|
| LBN Legal business name | Gray, David Stephen |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2016 |
| Last updated | Apr 1st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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