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Individual
DR. PHILIP B DRAY
Active
Individual
DR. PHILIP B DRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-063236
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-063236-3
—
IL
01
—
IL2998004
MEDICARE PTAN
IL
Enumeration date
08/24/2005
Last updated
06/26/2013
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