Organization
GRAY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN GRAY (PRESIDENT)
(312) 291-9305
Entity
Organization
Contact information
Practice address
1621 W CARROLL AVE, CHICAGO, IL 60612-2501
(312) 291-9305
(312) 896-1436
Mailing address
1621 W CARROLL AVE, CHICAGO, IL 60612-2501
(312) 291-9305
(312) 896-1436
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
10/18/2010
Last updated
08/24/2020
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