Provider Demographics
NPI:1417926601
Name:PRAY, MERLE EVELYN (APRN)
Entity Type:Individual
Prefix:MS
First Name:MERLE
Middle Name:EVELYN
Last Name:PRAY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 E DELAWARE PL
Mailing Address - Street 2:5517
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-1756
Mailing Address - Country:US
Mailing Address - Phone:312-569-7173
Mailing Address - Fax:312-569-6110
Practice Address - Street 1:820 S0 DAMEN AVE
Practice Address - Street 2:4292
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:312-569-7173
Practice Address - Fax:312-569-6110
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01635649OtherCNS
IL0163566110OtherRN