MR. KENNETH LEON BRAY (NPI# 1740295161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740295161 |
| Entity Type | Individual |
| Full Name | MR. KENNETH LEON BRAY |
| Credential | MD |
| Practice Address |
1 Erie Ct Ste 6040 Oak Park IL 60302-2510 |
| Practice Telephone | 7083861301 |
| Practice Fax Number | 7083863053 |
| Mailing Telephone | 7083861301 |
| Mailing Fax Number | 7083863053 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036085284 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036085284 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497728653 | Kenneth Ellis Bray | Dentist | 10151 Montgomery Blvd Ne, Bldg. 2 Suite B, Albuquerque, NM 87111-3670 | 2006-02-08 |
| Street Address |
1 ERIE CT STE 6040 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306281480 | Melissa Beally | Obstetrics & Gynecology | 1 Erie Ct Ste 6040, Oak Park, IL 60302-2510 | 2013-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588058796 | Michael R. Roche | Obstetrics & Gynecology | 610 S Maple Ave Ste 3600, Oak Park, IL 60304-2805 | 2015-03-25 |
| 1235441858 | Abraham S Madany | Obstetrics & Gynecology | 24611 Coolidge Hwy, Oak Park, MI 48237-1449 | 2010-07-12 |
| 1447395108 | Monique Brotman | Obstetrics & Gynecology | 1 Erie Ct Suite 7020, Oak Park, IL 60302 | 2007-02-20 |
| 1003924127 | Lyndon D Taylor | Obstetrics & Gynecology | 1515 N Harlem Ave Ste 308, Oak Park, IL 60302-1205 | 2006-08-28 |
| 1497744932 | William Luke Jordan | Obstetrics & Gynecology | 12900 W.9 Mile Road, Oak Park, MI 48237 | 2005-10-18 |
| 1194106872 | James Stewart Nitti | Obstetrics & Gynecology | 932 Lake St Ste 300, Oak Park, IL 60301 | 2015-06-17 |
| 1396151130 | Monique Brotman, D.o. LLC | Obstetrics & Gynecology | 1010 Lake St, Suite 507, Oak Park, IL 60301-1147 | 2014-07-01 |
| 1558614289 | The Wellness Plan Medical Centers | Obstetrics & Gynecology | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2012-10-18 |
| 1952611816 | Partners In Women's Health 2 LLC | Obstetrics & Gynecology | 610 S Maple Ave, Suite 3600, Oak Park, IL 60304-1091 | 2010-10-13 |
| 1316256472 | Theodore K Graham Md PC | Obstetrics & Gynecology | 12900 W 9 Mile Rd, Oak Park, MI 48237-2990 | 2010-10-06 |
| Find all providers in OAK PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.