Dale R Gray (NPI# 1043252075, PAC ID# 9830155977) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1043252075 |
| PAC ID by PECOS | 9830155977 |
| Professional Enrollment ID | I20041209000570 |
| Full Name | Dale R Gray |
| Address |
2720 Glenwood Ct Rockford IL 61101-3507 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140239 | ROCKFORD MEMORIAL HOSPITAL |
| 140228 | SWEDISH AMERICAN HOSPITAL |
| 140233 | OSF SAINT ANTHONY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2222 E State St, Suite 209, Rockford, IL 61104-1572 | 8159888500 | IN HOME MEDICAL GROUP LLC |
| 2720 Glenwood Ct, Rockford, IL 61101-3507 |
| Street Address |
2720 GLENWOOD CT |
| City | ROCKFORD |
| State | IL |
| Zip | 61101-3507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kamlesh P Ramchandani | Internal Medicine | 111 N Church St, Rockford, IL 61101-1001 | |
| Daniel E Sommer | Clinical Social Worker | 2721 Glenwood Ct, Rockford, IL 61101-3507 | |
| Dana S Kiley | Clinical Social Worker | 2823 Glenwood Ave, Rockford, IL 61101-3542 | |
| James D Koepsell | Internal Medicine | 2829 Glenwood Ave, Rockford, IL 61101-3542 | |
| Michelle Johnson | Clinical Social Worker | 2823 Glenwood Ave, Rockford, IL 61101-3542 | |
| Kyle J Cushing | Psychologist, Clinical | 2823 Glenwood Ave, Rockford, IL 61101-3542 | |
| Courtney Forman | Nurse Practitioner | 2823 Glenwood Ave, Rockford, IL 61101-3542 | |
| Lisa A Stear | Clinical Social Worker | 2823 Glenwood Ave, Rockford, IL 61101-3542 |
| City | ROCKFORD |
| Zip Code | 61101 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ROCKFORD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Dale R Gray.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.