GARY M MCCRAY MD SC NPI 1407095805

NPI Information

  • NPI: 1407095805
  • Provider Name: GARY M MCCRAY MD SC
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 1530 ALIMA TER
    LA GRANGE PARK, IL
    ZIP 60526
  • Phone: (708) 783-5572

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NPI Details

GARY M MCCRAY MD SC is a geriatric medicine internal medicine in La Grange Park, IL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. GARY M MCCRAY MD SC NPI is 1407095805. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1530 ALIMA TER
LA GRANGE PARK, IL
ZIP 60526-331
Phone: (708) 783-5572
Fax: (708) 482-4093

The provider's authorized official is Gary Myles Mccray .
The authorized official title is Owner and has the following contact phone number (708) 783-5572.

The enumeration date for this NPI number is 2/10/2009 and was last updated on 2/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine036064789ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11023025541OTHERILLINOISTYPE I NPI
2036064789MEDICAIDILLINOIS
3211553MEDICARE PINILLINOIS
41255512976OTHERILLINOISTYPE II NPI
501621773OTHERILLINOISBLUE SHEILD
6211557MEDICARE PINILLINOIS
7C37113MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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