Dale Gray MD, SC
Dale Gray MD, SC is a Primary Care Clinic/Center in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2017.
- Licensed in
- IL
- In the registry since
- 2017
Practice location Address checks out
2720 Glenwood CtRockford, IL 61101-3507
Phone: (815) 962-0633
Fax: (815) 962-0142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 036072289 (IL) |
|---|
Record details
| NPI number | 1750807558 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dale Gray — President · (815) 962-0633 |
| NPI enumerated | August 14, 2017 |
| Last updated in NPPES | August 14, 2017 |
| Mailing address | 2720 Glenwood Ct, Rockford, IL 61101-3507 |
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