Individual
MR. KENNETH LEON BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ERIE CT STE 6040, OAK PARK, IL 60302-2510
(708) 386-1301
(708) 386-3053
Mailing address
1 ERIE CT STE 6040, OAK PARK, IL 60302-2510
(708) 386-1301
(708) 386-3053
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036085284
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085284
—
IL
Enumeration date
07/31/2006
Last updated
12/23/2019
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