Organization
KEN GRAY COMPANY INC.
Active
Parent organization
KEN GRAY COMPANY INC.
Other names
Bolingbrook Express Medical Transport
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEN GRAY COMPANY INC.
Authorized official
DR. KENNETH GRAY SR. (PRESIDENT/ CLINICAL DIRECTOR)
(630) 914-5065
Entity
Organization
Contact information
Practice address
451 MALLVIEW LN, BOLINGBROOK, IL 60440-2974
(630) 914-5065
Mailing address
451 MALLVIEW LN, BOLINGBROOK, IL 60440-2974
(630) 914-5065
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
IL
175F00000X
Naturopath
—
IL
246RP1900X
Phlebotomy Technician
—
IL
343900000X
Non-emergency Medical Transport (VAN)
1301356
IL
347C00000X
Private Vehicle
Primary
5731DV
IL
367H00000X
Anesthesiologist Assistant
—
IL
Other
Enumeration date
12/21/2015
Last updated
12/29/2015
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