Individual
DR. KADIJAH SEKHMET RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
(608) 743-3260
Mailing address
185 PENNY AVE, EAST DUNDEE, IL 60118-1454
(847) 836-7015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036125700
IL
207LP3000X
Pediatric Anesthesiology Physician
036125700
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036125700
IL LICENSE
IL
Enumeration date
06/03/2007
Last updated
04/22/2026
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