DR. GREGORY DEAN MALO (NPI# 1558426924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558426924 |
| Entity Type | Individual |
| Full Name | DR. GREGORY DEAN MALO |
| Credential | PSY.D. |
| Practice Address |
246 E Janata Blvd Suite 140 Lombard IL 60148-5317 |
| Mailing Address |
163 Saddle Brook Dr Oak Brook IL 60523-2652 |
| Practice Telephone | 6304248900 |
| Practice Fax Number | 6304249017 |
| Mailing Telephone | 6309209627 |
| Mailing Fax Number | 6304249017 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TF0200X |
Psychologist Specialization: Forensic |
071-2647 | IL | Behavioral Health & Social Service Providers |
| X | 103G00000X | Clinical Neuropsychologist | IL | Behavioral Health & Social Service Providers | |
| X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHEILD | 02233000 | 01 |
| Street Address |
246 E JANATA BLVD SUITE 140 |
| City | LOMBARD |
| State | IL |
| Zip Code | 60148-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464394 | Andrew A. Roth, M.d.,s.c. | Specialist | 246 E Janata Blvd, Suite 130, Lombard, IL 60148-5317 | 2005-08-11 |
| 1265804330 | Kristin Clifford | Psychologist | 246 E Janata Blvd, Lombard, IL 60148-5317 | 2015-10-28 |
| 1023413754 | Liluke Enterprises LLC | Clinical Medical Laboratory | 246 E Janata Blvd, Suite 260, Lombard, IL 60148-5317 | 2014-10-23 |
| 1740685551 | Patrick Janowicz | Clinical Medical Laboratory | 246 E Janata Blvd, Suite 260, Lombard, IL 60148-5317 | 2014-10-23 |
| 1003107350 | Lisa Marie Borgealt | Chiropractor | 246 E Janata Blvd, Suite 135, Lombard, IL 60148-5317 | 2011-04-20 |
| 1053612994 | Rebound Fitmess and Rehabilitation | Specialist | 246 E Janata Blvd, Suite 135, Lombard, IL 60148-5317 | 2010-11-09 |
| 1366751489 | Optimal Dental Lombard PC | Dentist | 246 E Janata Blvd, Suite 140, Lombard, IL 60148-5317 | 2010-10-07 |
| 1932264207 | Gregory Malo Psyd & Associates In Neuropsychology PC | Clinic/Center | 246 E Janata Blvd, Suite 112, Lombard, IL 60148-5317 | 2006-12-26 |
| 1629138839 | Moira Ann Clair Dammrich | Counselor | 246 E Janata Blvd, Suite 112, Lombard, IL 60148-5317 | 2006-12-11 |
| 1821180803 | Randall Warren Summerville | Clinical Neuropsychologist | 246 E Janata Blvd, Suite 140, Lombard, IL 60148-5317 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
| 1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
| 1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
| 1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
| 1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
| 1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
| 1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
| Find all providers in zip 60148 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891269122 | Cassandra L. Simmons | Psychologist | 1515 W Jackson St Apt 5, Macomb, IL 61455-3635 | 2019-01-21 |
| 1952750697 | Jessica Mueller | Psychologist | 3310 S Center St, Braceville, IL 60407-9779 | 2016-06-03 |
| 1063878833 | Dr. Jessica Ransom and Associates LLC | Psychologist | 4043 N Ravenswood Ave, 227, Chicago, IL 60613-1155 | 2016-01-11 |
| 1770780306 | William Harry Welch | Psychologist | 810 E State St, Suite 304, Rockford, IL 61104-1008 | 2007-06-28 |
| 1427021393 | Peoria Psychological Associates, P.C. | Psychologist | 5505 N Fairmont Dr, Peoria, IL 61614-4246 | 2006-02-09 |
| 1922567908 | Bridget Springmire | Psychologist | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2019-03-18 |
| 1609330869 | Jasmine Hardy | Psychologist | 1515 W Jackson St Apt 5, Macomb, IL 61455-3635 | 2019-01-22 |
| 1114402559 | Stephanie Dimaggio | Psychologist | 1400 W Greenleaf Ave, Chicago, IL 60626 | 2018-10-02 |
| 1487997615 | Daidra L Marano | Psychologist | 102 E Schoolhouse Rd, Suite 1, Yorkville, IL 60560-1742 | 2013-04-06 |
| 1740450170 | S.m.a.r.t. Living LLC | Psychologist | 233 E Wacker Dr, 1607, Chicago, IL 60601-5104 | 2008-02-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.