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Ken Gray Company Inc.
Anesthesiologist Assistant in Bolingbrook, Illinois
NPI 1184081374

Ken Gray Company Inc. is an Anesthesiologist Assistant based in Bolingbrook, IL. Ken Gray Company Inc. practices in Bolingbrook, IL. The NPI Number for Ken Gray Company Inc. is 1184081374 and holds a License No. (Illinois).

The current practice location address for Ken Gray Company Inc. is 451 Mallview Ln, Bolingbrook, IL and can be reached out via phone at 630-914-5065.

Location: 451 Mallview Ln, Bolingbrook, IL, 60440-2974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184081374
Provider Name
Ken Gray Company Inc.
Credential
Provider Entity Type
Organization
Address
451 Mallview Ln, Bolingbrook, IL, 60440-2974
Phone Number
630-914-5065
Fax Number
Provider Enumeration Date
01/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
451 Mallview Ln
City
Bolingbrook
State
Illinois
Zip
60440-2974
Phone Number
630-914-5065
Fax Number
person
Provider Business Mailing Address Details
Address
451 Mallview Ln
City
Bolingbrook
State
Illinois
Zip
60440-2974
Phone Number
630-914-5065
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Medical Laboratory
Taxonomy
246RM2200X
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Phlebotomy
Taxonomy
246RP1900X
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
(Illinois)
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Anesthesiologist Assistant
Speciality
-
Taxonomy
367H00000X
License No.
(Illinois)
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
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