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Individual

DR. BISWAMAY RAY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1812 BROADWAY ST, SUITE 23, MELROSE PARK, IL 60160-2039
(708) 343-3122
(773) 626-2613
Mailing address
1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
(630) 718-0200
(630) 718-0900

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
IL

Other

Enumeration date
05/05/2006
Last updated
07/08/2007
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