Individual
DANIEL RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 31ST ST, DOWNERS GROVE, IL 60515-1235
(800) 458-6253
Mailing address
107 65TH LAKE DR APT 201, WESTMONT, IL 60559-3133
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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