Gray, Clarice R

Gray, Clarice R is an individual health care provider with primary practice located at 10800 S Peoria St , Chicago IL 60643-3832. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Gray, Clarice R can be contacted via phone (773) 619-3998.

Contact Information

Primary practice address
10800 S Peoria St Chicago IL 60643-3832
Phone: (773) 619-3998
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1588141840
LBN Legal business name Gray, Clarice R
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2018
Last updated Jul 19th, 2018 - about 8 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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