| Gary M Mccray Md Sc | |
|
1530 Alima Terrace Lagrange Park IL 60526-1331 | |
| (708) 783-5572 | |
| (708) 482-4093 |
| Full Name | Gary M Mccray Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1530 Alima Terrace, Lagrange Park, Illinois |
| Authorized Official Name and Position | Gary Myles Mccray (OWNER) |
| Authorized Official Contact | 7087835572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary M Mccray Md Sc 1530 Alima Terrace Lagrange Park IL 60526-1331 Ph: (708) 783-5572 | Gary M Mccray Md Sc 1530 Alima Terrace Lagrange Park IL 60526-1331 Ph: (708) 783-5572 |
| NPI Number | 1255512976 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 10/14/2008 |
| Medicare PECOS PAC ID | 0345280400 |
|---|---|
| Medicare Enrollment ID | O20050509000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255512976 | NPI | - | NPPES |
| 039-064789 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 036-064789 (Illinois) | Primary |
| Provider Name | Gary M Mccray |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1023025541 PECOS PAC ID: 7113967282 Enrollment ID: I20050511000730 |
Intermed, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 418 Sherwood Rd, Lagrange Park, IL 60526 Phone: 708-482-3600 Fax: 708-482-3005 |