Bray, Kenneth Leon

Bray, Kenneth Leon is an individual health care provider with primary practice located at 1 Erie Ct Ste 6040 , Oak Park IL 60302-2510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bray, Kenneth Leon can be contacted via phone (708) 386-1301.

Contact Information

Primary practice address
1 Erie Ct Ste 6040 Oak Park IL 60302-2510
Phone: (708) 386-1301
Fax: (708) 386-3053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036085284 Illinois

Profile Details

NPI number 1740295161
LBN Legal business name Bray, Kenneth Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Dec 23rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740295161 NPPES
Illinois MEDICAID 036085284

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