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GREGORY MALO PSYD & ASSOCIATES IN NEUROPSYCHOLOGY PC NPI 1932264207


NPI Information

NPI: 1932264207
Provider Name: GREGORY MALO PSYD & ASSOCIATES IN NEUROPSYCHOLOGY PC

Doing Business As: ARCC NEUROPSYCHOLOGY

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
477 E BUTTERFIELD RD STE 102
LOMBARD, IL
ZIP 60148
Phone: (630) 424-8900
Get Directions

GREGORY MALO PSYD & ASSOCIATES IN NEUROPSYCHOLOGY PC is an adult mental health clinic center in Lombard, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. GREGORY MALO PSYD & ASSOCIATES IN NEUROPSYCHOLOGY PC NPI is 1932264207. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Arcc Neuropsychology.

The provider's business location address is:

477 E BUTTERFIELD RD STE 102
LOMBARD, IL
ZIP 60148-880
Phone: (630) 424-8900
Fax: (630) 424-9017

The provider's authorized official is Randall Warren Summerville .
The authorized official title is Owner and has the following contact phone number (630) 424-8900.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 12/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistNo
2261QM0850XClinic/CenterAdult Mental Health071002647ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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