Provider Demographics
NPI:1477618197
Name:MAY, GAIL JOYCE (OD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:JOYCE
Last Name:MAY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16642 WINDSOR CT
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-4636
Mailing Address - Country:US
Mailing Address - Phone:630-243-0504
Mailing Address - Fax:630-355-9796
Practice Address - Street 1:1516 LEGACY CIR UNIT 102
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1269
Practice Address - Country:US
Practice Address - Phone:630-245-2020
Practice Address - Fax:630-245-2021
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046008621152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK38620Medicare PIN