Provider Demographics
NPI:1568880128
Name:GORYL, ASHLEY (AUD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:GORYL
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 S COUNTY FARM RD STE D
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-2477
Mailing Address - Country:US
Mailing Address - Phone:630-752-9505
Mailing Address - Fax:
Practice Address - Street 1:311 S COUNTY FARM RD STE D
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-2477
Practice Address - Country:US
Practice Address - Phone:630-752-9505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-01
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001499231H00000X
IL147001499231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty