Adam Gray, L.C.S.W

NPI 1124385604 · on the registry since 2012 · sole proprietor

Practice

Address: 4003 N Broadway St
2nd Floor
Chicago, IL 60613
Phone: (773) 828-9449
Fax: (773) 834-8088
Organisation at this address: Second Story Consultants
Copro Clinical Concepts, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 1041C0700X
1041C0700X
Licence states on file: NY, CA, IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois