Gray, Mary Louise

Gray, Mary Louise is an individual health care provider with primary practice located at 3111 Williamson County Pkwy , Marion IL 62959-5235. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Gray, Mary Louise can be contacted via phone (618) 997-3647.

Contact Information

Primary practice address
3111 Williamson County Pkwy Marion IL 62959-5235
Phone: (618) 997-3647
Fax: (618) 969-9437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 041-142634 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041.142634 Illinois

Profile Details

NPI number 1144417692
LBN Legal business name Gray, Mary Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2007
Last updated Mar 27th, 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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