Individual
MADELINE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW MSW MPH
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-4000
Mailing address
2328 W IOWA ST APT 3R, CHICAGO, IL 60622-4740
(857) 352-8923
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.107151
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2017
Last updated
02/19/2023
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