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Individual

ADRIENNE RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
625 N MICHIGAN AVE, STE #210, CHICAGO, IL 60611-3110
(312) 670-2530
(312) 670-2630
Mailing address
625 N MICHIGAN AVE, STE #210, CHICAGO, IL 60611-3110
(312) 670-2530
(312) 670-2630

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036085007
IL
207VG0400X
Gynecology Physician
036085007
IL
207VX0000X
Obstetrics Physician
036085007
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036085007
IL
01
1659387538
INDIVIDUAL NPI
IL
01
1821211129
NPI GROUP NUMBER
IL
01
31603891
BC/BS PROVIDER NUMBER
IL
Enumeration date
07/31/2006
Last updated
07/01/2011
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