| Erica Ray, Inc | |
|
15010 S Ravinia Ave Suite 15 Orland Park IL 60462-3162 | |
| (708) 769-2097 | |
| Not Available |
| Full Name | Erica Ray, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 15010 S Ravinia Ave, Orland Park, Illinois |
| Authorized Official Name and Position | Erica Ray (THERAPIST) |
| Authorized Official Contact | 7087692097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Ray, Inc 3844 Marilyn Dr Richton Park IL 60471-1286 Ph: () - | Erica Ray, Inc 15010 S Ravinia Ave Suite 15 Orland Park IL 60462-3162 Ph: (708) 769-2097 |
| NPI Number | 1124460902 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 07/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124460902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.005055 (Illinois) | Primary |
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