Ray Medical Services, Pllc | |
120 W 19th St Gibson City IL 60936-1000 | |
(815) 566-9915 | |
Not Available |
Full Name | Ray Medical Services, Pllc |
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Speciality | Clinic/Center |
Location | 120 W 19th St, Gibson City, Illinois |
Authorized Official Name and Position | Darrin Ray (PHYSICIAN OWNER) |
Authorized Official Contact | 8155669915 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ray Medical Services, Pllc 120 W 19th St Gibson City IL 60936-1000 Ph: () - | Ray Medical Services, Pllc 120 W 19th St Gibson City IL 60936-1000 Ph: (815) 566-9915 |
NPI Number | 1902402597 |
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Provider Enumeration Date | 12/08/2020 |
Last Update Date | 10/07/2024 |
Medicare PECOS PAC ID | 4183032048 |
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Medicare Enrollment ID | O20210415000064 |
Identifier | Type | State | Issuer |
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1902402597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Darrin M Ray |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679785778 PECOS PAC ID: 8123182466 Enrollment ID: I20090130000414 |
Provider Name | Christina Hay |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124450390 PECOS PAC ID: 9032431127 Enrollment ID: I20220103000767 |
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