Dale Gray M.D.,S.C.

LBN: Dale Gray M.D.,S.C.
Dale Gray M.D.,S.C. is an health care organization with primary practice located at 2720 Glenwood Ct , Rockford IL 61101-3507. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Dale Gray M.D.,S.C. can be contacted via phone (815) 962-0633, or through Gray, Dale via phone (815) 962-0633.

Contact Information

Primary practice address
2720 Glenwood Ct Rockford IL 61101-3507
Phone: (815) 962-0633
Fax: (815) 962-0142
Website:
Map and Directions
Authorized official contact:
Name: Gray, Dale Doctor of Medicine (MD)
Phone: (815) 962-0633

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 036072289 Illinois

Profile Details

NPI number 1750807558
LBN Legal business name Dale Gray M.D.,S.C.
DBA Doing business as
Authorized official Gray, Dale Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2017
Last updated Aug 14th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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