Gray, Barry

Gray, Barry is an individual health care provider with primary practice located at 320 E Armstrong Dept Of Pediatrics, Peoria IL 61603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Gray, Barry can be contacted via phone (309) 624-9587.

Contact Information

Primary practice address
320 E Armstrong Dept Of Pediatrics Peoria IL 61603
Phone: (309) 624-9587
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X Illinois

Profile Details

NPI number 1396714069
LBN Legal business name Gray, Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396714069 NPPES
Illinois Other IL01CW JOHN DEERE
Illinois Other 07215036 JOHN DEERE

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