Gray, Randall
Gray, Randall is an individual health care provider with primary practice located at 1441 Branding Ave Ste 310 , Downers Grove IL 60515-5624. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Gray, Randall can be contacted via phone (630) 829-1038.Contact Information
Primary practice address
1441 Branding Ave Ste 310
Downers Grove IL 60515-5624
Phone: (630) 829-1038
Fax: (630) 829-1080
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 209011581 | Illinois |
Profile Details
NPI number | 1477969764 |
---|---|
LBN Legal business name | Gray, Randall |
Credentials | RN, MSN, NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2014 |
Last updated | Sep 27th, 2022 - about 2 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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