Mccray, Gary Myles

Mccray, Gary Myles is an sole proprietor health care provider with primary practice located at 1530 Alima Ter , La Grange Park IL 60526-1331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Mccray, Gary Myles can be contacted via phone (708) 783-5572.

Contact Information

Primary practice address
1530 Alima Ter La Grange Park IL 60526-1331
Fax: (708) 482-4093
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036064789 Illinois

Profile Details

NPI number 1023025541
LBN Legal business name Mccray, Gary Myles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Oct 6th, 2008 - about 16 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 1023025541 NPPES
Illinois MEDICAID 036064789

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