Individual
RAYMOND VINCENT GARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(888) 352-7874
Mailing address
1264 VILLAGE CENTRE DR UNIT 5, KENOSHA, WI 53144-7254
(262) 705-1662
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
209.021722
IL
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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