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NPI Code Detail

MEDICARE: MS. KAREN M WRAY RDMS,RVT

MEDICARE:  MS. KAREN M WRAY  RDMS,RVT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician

General Provider Information

NPI Number : 1639417454
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN M WRAY RDMS,RVT
Provider Business Mailing Address
First Line : 175 N HARBOR DR
Second Line : SUITE 2111
City : CHICAGO
State : IL
Zip : 60601-7344
Country : US
Telephone Number : 312-502-2286
Fax Number :
Provider Business Practice Location Address
First Line : 175 N HARBOR DR
Second Line : SUITE 2111
City : CHICAGO
State : IL
Zip : 60601-7344
Country : US
Telephone Number : 312-502-2286
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2013
Last Update Date : 01/29/2013

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Directions to “ MS. KAREN M WRAY RDMS,RVT” Practice Location

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