Provider Demographics
NPI:1447891007
Name:VIRAY, JOY
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:VIRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:581 BURLINGTON AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:CLARENDON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60514-1183
Mailing Address - Country:US
Mailing Address - Phone:630-537-1433
Mailing Address - Fax:630-324-0776
Practice Address - Street 1:581 BURLINGTON AVE APT 5
Practice Address - Street 2:
Practice Address - City:CLARENDON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60514-1183
Practice Address - Country:US
Practice Address - Phone:630-537-1433
Practice Address - Fax:630-324-0776
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL48076-PT19246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy