Gregory Dean Malo is a Forensic in Oak Brook, Illinois. Gregory Dean Malo practices all healthcare services and medical treatments related to Forensic. The NPI Number for Gregory Dean Malo is 1558426924. The last update date is 2007-07-09.
Gregory Dean Malo's current location address is 163 Saddle Brook Dr, Oak Brook, Illinois. You can contact this provider via phone number 6309209627 and fax number 6304249017. The mailing address for Gregory Dean Malo is 163 Saddle Brook Dr, Oak Brook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Dean Malo |
|---|---|
| Address | 163 Saddle Brook Dr, Oak Brook, Illinois |
| Phone Number | 6309209627 |
| Fax Number | 6304249017 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1558426924 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 163 Saddle Brook Dr |
|---|---|
| City | Oak Brook |
| State | Illinois (IL) |
| Post Code | 605232652 |
| Phone Number | 6309209627 |
| Fax Number | 6304249017 |
Provider's Primary Taxonomy Detail
| Speciality | Forensic |
|---|---|
| Taxonomy | 103Tf0200X |
| Licence No | 071-2647 |
|
Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2233000 | IL | BLUE CROSS BLUE SHEILD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gregory Dean Malo by the Centers for Medicare & Medicaid Services?
The Gregory Dean Malo has been issued the NPI (National Provider Identifier) 1558426924 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Gregory Dean Malo is located?
The Gregory Dean Malo is situated at the following address: 163 Saddle Brook Dr, Oak Brook, IL, 605232652.
What is Gregory Dean Malo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gregory Dean Malo's specialized field of practice is Forensic, and the corresponding taxonomy code that categorizes this area of specialization is 103Tf0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558426924 to Gregory Dean Malo?
The Gregory Dean Malo received its 1558426924 assignment from the Centers for Medicare & Medicaid Services on 2006-12-26.
When was the information pertaining to Gregory Dean Malo most recently updated or revised?
The details related to Gregory Dean Malo, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
Address: Po Box 483, Davis, CA
Address: 5557 Carys Brook Ln, Gloucester, VA
Address: 1259 S Cedar Crest Blvd, Allentown, PA
Address: 30100 Telegraph Rd, Bingham Farms, MI
Address: 4354 Latham St Ste 100, Riverside, CA
Address: 11124 Wurzbach Rd, San Antonio, TX
Address: 1555 Port Malabar Blvd Ne, Palm Bay, FL
Address: 2441 W Sr 426, Oviedo, FL
Address: Po Box 489, Imperial Beach, CA
Address: 444 W 21st Ave, Spokane, WA
Address: 8155 Gladys Ave, Beaumont, TX
Address: 9171 Wilshire Blvd, Beverly Hills, CA
Address: 7302 Jarnigan Rd, Chattanooga, TN
Address: 1005 Scott Dr, Thomasville, AL
Address: 2150 Corbin Ave, New Britain, CT