Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Lisa Gray

Individual provider Contractor · NPI 1639054190

MS. Lisa Gray is a Contractor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

815 W 63rd St
Chicago, IL 60621-1917
Phone: (877) 926-3936
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 84-5111204 (IL)

Record details

NPI number1639054190
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address815 W 63rd St Fl 4, Chicago, IL 60621-1917

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