Individual
BERNADETTE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2103 E WASHINGTON ST STE 1D, BLOOMINGTON, IL 61701-4310
(888) 240-1121
(888) 240-1121
Mailing address
120 W 19TH ST, GIBSON CITY, IL 60936-1000
(217) 778-4372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036121344
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370647938006
—
IL
Enumeration date
05/03/2007
Last updated
04/08/2026
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