NPI 1790206514
Raychael Lanice Ayres
Practice location
- Address
- 313 Gurler St APT 6, Dekalb, IL 60115-3661
- Phone
- (815) 748-8544
- Mailing address
- 236 McMillan CT Unit 202, Cortland, IL 60112-4178
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1790206514
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Jun 2017
- Record last updated
- 30 Jun 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.