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
Phone: (708) 783-5572
Fax: (708) 482-4093
Website:
Health care specialties
Specialty | Code | License # | 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 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023025541 | NPPES |
Illinois | MEDICAID | 036064789 |
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