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CAROLYN GRAY RSA
NPI 1083377121
Rehabilitation Practitioner in Waterloo, IL

Active since October 15, 2021
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298(618) 939-4444 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolyn Gray Rsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN GRAY RSA (NPI 1083377121) is an individual rehabilitation practitioner in Waterloo, Illinois and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1083377121
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameCAROLYN GRAYCredential: RSA
Location Address988 N ILLINOIS ROUTE 3Waterloo, IL 62298-1059
Mailing Address988 N Illinois Route 3Waterloo, IL 62298-1059 · (618) 939-4444
Phone(618) 939-4444
Sole ProprietorNo
Enumeration DateOctober 15, 2021
NPPES CertifiedOctober 15, 2021
✔ NPI 1083377121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
988 N ILLINOIS ROUTE 3, Waterloo, IL 62298
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA WILKERSON LPN
Licensed Practical Nurse
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
DANIEL MOLL RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
BONNIE LEWIS RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
MARY GATES-GULLY MS, CADC
Counselor (Addiction (Substance Use Disorder))
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
SHYRL HAMILTON MHP
Case Manager/Care Coordinator
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
STEPHANIE MOORE LCSW
Social Worker
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
ABAGAIL JEAN WHITAKER RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
PEGGY ANN WORK MHP
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Gray's NPI number?

The NPI number for Carolyn Gray is 1083377121. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Carolyn Gray located?

Carolyn Gray practices at 988 N Illinois Route 3, Waterloo, IL 62298. The listed phone number is (618) 939-4444.

What is Carolyn Gray's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Carolyn Gray was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.