Individual provider · Type 1 NPI
Janay McGregory, COSMETOLOGIST
Customized Equipment (DME) · Richton Park, IL
NPI number
1255901112
Active
Practice location
5022 Thomas Dr
Richton Park, IL 60471-1638
Mailing address
22332 Governors Hwy
Richton Park, IL 60471-4456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | None listed |
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
About NPI 1255901112
Janay McGregory, COSMETOLOGIST's National Provider Identifier is 1255901112, issued on Jul 1, 2021. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Richton Park, IL. The record was last updated on Jul 1, 2021.