Provider Demographics
NPI:1639417454
Name:WRAY, KAREN M (RDMS,RVT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:M
Last Name:WRAY
Suffix:
Gender:F
Credentials:RDMS,RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 N HARBOR DR
Mailing Address - Street 2:SUITE 2111
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-7344
Mailing Address - Country:US
Mailing Address - Phone:312-502-2286
Mailing Address - Fax:
Practice Address - Street 1:175 N HARBOR DR
Practice Address - Street 2:SUITE 2111
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7344
Practice Address - Country:US
Practice Address - Phone:312-502-2286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other