Gregory Lloyd Washington, CP
Prosthetist in Hines, IL. Individual provider (NPI-1).
NPI number1497907810
StatusActive
Last updated in NPPESOct 23, 2008
Details
- NPI
- 1497907810
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gregory Lloyd Washington
- Credential
- CP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2008
- Last updated
- Oct 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | 211000138 | IL | Yes |
Practice location
5000 S 5th AveHines, IL 60141-3030
Phone 708-202-8387 · Fax 708-202-2006
Mailing address
5000 S 5th AveHines, IL 60141-3030
Phone 708-202-8387 · Fax 708-202-2006
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