Ray, Darrin

Ray, Darrin is an individual health care provider with primary practice located at 120 W 19Th St , Gibson City IL 60936-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ray, Darrin can be contacted via phone (815) 566-9915.

Contact Information

Primary practice address
120 W 19Th St Gibson City IL 60936-1000
Fax: (888) 661-3051
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036122118 Illinois

Profile Details

NPI number 1679785778
LBN Legal business name Ray, Darrin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 1st, 2024 - about 2 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 1679785778 NPPES
Illinois MEDICAID 370647938016

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