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Individual
ADRIENNE RAY
Active
Individual
ADRIENNE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036085007
IL
207VG0400X
Gynecology Physician
036085007
IL
207VX0000X
Obstetrics Physician
036085007
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085007
—
IL
01
—
1659387538
INDIVIDUAL NPI
IL
01
—
1821211129
NPI GROUP NUMBER
IL
01
—
31603891
BC/BS PROVIDER NUMBER
IL
Enumeration date
07/31/2006
Last updated
07/01/2011
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