Organization Active NPI

Gray Medical

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1720398399
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GRAY MEDICAL
Practice address
1621 W Carroll Ave
Chicago, IL 60612-2501
Phone
(312) 291-9305
Fax
(312) 896-1436
NPI assigned
Oct 18, 2010
Last updated
Aug 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nathan Gray
Title
President
Phone
(312) 291-9305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IL Primary

Addresses

Primary practice location

1621 W Carroll Ave
Chicago, IL 60612-2501

Mailing address

1621 W Carroll Ave
Chicago, IL 60612-2501
Phone (312) 291-9305

National Provider Directory

National Provider Directory

Locations

1626 W Lake St
Chicago, IL 60612

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1720398399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W CARROLL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122501",
            "telephone_number": "312-291-9305",
            "fax_number": "312-896-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W CARROLL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122501",
            "telephone_number": "312-291-9305",
            "fax_number": "312-896-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-291-9305"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.