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Dale Gray M.d.,s.c.
Primary Care Clinic/Center in Rockford, Illinois
NPI 1750807558

Dale Gray M.d.,s.c. is a Primary Care Clinic/Center based in Rockford, IL and is specialized in Primary Care. Dale Gray M.d.,s.c. practices in Rockford, IL. The NPI Number for Dale Gray M.d.,s.c. is 1750807558 and holds a License No. 036072289 (Illinois).

The current practice location address for Dale Gray M.d.,s.c. is 2720 Glenwood Ct, Rockford, IL and can be reached out via phone at 815-962-0633 and via fax at 815-962-0142.

Location: 2720 Glenwood Ct, Rockford, IL, 61101-3507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750807558
Provider Name
Dale Gray M.d.,s.c.
Credential
Provider Entity Type
Organization
Address
2720 Glenwood Ct, Rockford, IL, 61101-3507
Phone Number
815-962-0633
Fax Number
815-962-0142
Provider Enumeration Date
08/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2720 Glenwood Ct
City
Rockford
State
Illinois
Zip
61101-3507
Phone Number
815-962-0633
Fax Number
815-962-0142
person
Provider Business Mailing Address Details
Address
2720 Glenwood Ct
City
Rockford
State
Illinois
Zip
61101-3507
Phone Number
815-962-0633
Fax Number
815-962-0142
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
036072289 (Illinois)
Definition
Definition to come...
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