Malo, Gregory Dean

Malo, Gregory Dean is an individual health care provider with primary practice located at 246 E Janata Blvd Suite 140, Lombard IL 60148-5317. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Adult Development & Aging. Behavioral Health & Social Service Providers / Forensic is his primary health care specialty. Malo, Gregory Dean can be contacted via phone (630) 424-8900.

Contact Information

Primary practice address
246 E Janata Blvd Suite 140 Lombard IL 60148-5317
Phone: (630) 424-8900
Fax: (630) 424-9017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X 071-2647 Illinois
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X Illinois
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X Illinois

Profile Details

NPI number 1558426924
LBN Legal business name Malo, Gregory Dean
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558426924 NPPES
Illinois Other 02233000 BLUE CROSS BLUE SHEILD

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