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Individual

MR. RANDALL GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, MSN, NP-C

Contact information

Practice address
1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515-5624
(630) 829-1038
(630) 829-1080
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-5802
(847) 390-5900
(847) 635-8309

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277-001333
IL
363LG0600X
Gerontology Nurse Practitioner
209011581
IL

Other

Enumeration date
07/07/2014
Last updated
02/25/2025
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