Mr Kenneth Leon Bray, MD | |
1 Erie Ct Ste 6040, Oak Park, IL 60302-2510 | |
(708) 386-1301 | |
(708) 386-3053 |
Full Name | Mr Kenneth Leon Bray |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1 Erie Ct Ste 6040, Oak Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740295161 | NPI | - | NPPES |
036085284 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036085284 (Illinois) | Primary |
Entity Name | Pcc Community Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871516799 PECOS PAC ID: 1557270139 Enrollment ID: O20040206000415 |
Mailing Address | Practice Location Address |
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Mr Kenneth Leon Bray, MD 1 Erie Ct Ste 6040, Oak Park, IL 60302-2510 Ph: (708) 386-1301 | Mr Kenneth Leon Bray, MD 1 Erie Ct Ste 6040, Oak Park, IL 60302-2510 Ph: (708) 386-1301 |
Dr. Lyndon D Taylor, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1515 N Harlem Ave Ste 308, Oak Park, IL 60302 Phone: 708-848-9440 Fax: 708-848-4415 | |
Carl C. Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1 Erie Ct, Suite 6040, Oak Park, IL 60302 Phone: 708-386-1301 Fax: 708-386-3053 | |
Vasant R Acharya, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 932 Lake St Ste 300, Oak Park, IL 60301 Phone: 331-221-1700 Fax: 331-221-2729 | |
Ruth T. Dubyel, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 932 Lake St, Oak Park, IL 60301 Phone: 331-221-1700 Fax: 331-221-2729 | |
Dr. James Stewart Nitti, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 932 Lake St Ste 300, Oak Park, IL 60301 Phone: 331-221-1700 Fax: 331-221-2729 | |
Dr. Monique Brotman, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Erie Ct Suite 7020, Oak Park, IL 60302 Phone: 708-434-4075 Fax: 708-434-4079 | |
Bertha A Lopez, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Erie Ct, 6040, Oak Park, IL 60302 Phone: 708-386-1390 |