Adam Barrett Gray (NPI# 1124385604, PAC ID# 1052558830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1124385604 |
| PAC ID by PECOS | 1052558830 |
| Professional Enrollment ID | I20151027002615 |
| Full Name | Adam Barrett Gray |
| Address |
4003 N Broadway St 2nd Chicago IL 60613-2110 |
| Phone Number | 7738289449 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041306 | COMMUNITY MEDICAL CENTER IZARD COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 4003 N Broadway St, 2nd, Chicago, IL 60613-2110 | 7738289449 |
| Street Address |
4003 N BROADWAY ST 2ND |
| City | CHICAGO |
| State | IL |
| Zip | 60613-2110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dianna W Bolen | Psychologist, Clinical | 4350 N Hermitage Ave, Chicago, IL 60613-1106 | |
| Seth Solway | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 211, Chicago, IL 60613-1114 | |
| Dennis F Pomerleau | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 314, Chicago, IL 60613-1114 | |
| Damita Larue | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 220, Chicago, IL 60613-1114 | |
| Judith H Bobbe | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 304, Chicago, IL 60613-1114 | |
| Andrea H Fink | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 314, Chicago, IL 60613-1114 | |
| Tatiana A Jaramillo | Nurse Practitioner | Ravenswood Health and Wellness Center S.c. | 4256 N Ravenswood Ave, Suite 101, Chicago, IL 60613-1114 |
| Jason G Fennema | Chiropractic | Ravenswood Health and Wellness Center S.c. | 4256 N Ravenswood Ave, Suite 101, Chicago, IL 60613-1114 |
| Kristin Buller | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 303, Chicago, IL 60613-1114 | |
| Ashok C Shah | Internal Medicine | 1624 W Montrose Ave, Chicago, IL 60613-1214 | |
| Find all physicians in zip 60613 | |||
| City | CHICAGO |
| Zip Code | 60613 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | CHICAGO + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Adam Barrett 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.