Individual
CASEY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1030 N CLARK ST, SUITE #610, 6TH FLOOR, CHICAGO, IL 60610
(312) 900-9596
Mailing address
1030 N CLARK ST, SUITE #610, 6TH FLOOR, CHICAGO, IL 60610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.024378
IL
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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