Healthcare Provider Details

I. General information

NPI: 1255938908
Provider Name (Legal Business Name): NORMA LAURA GREGORIO-PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3230 SYCAMORE RD STE 164
DEKALB IL
60115-9621
US

IV. Provider business mailing address

3230 SYCAMORE RD STE 164
DEKALB IL
60115-9621
US

V. Phone/Fax

Practice location:
  • Phone: 815-201-2507
  • Fax:
Mailing address:
  • Phone: 815-201-2507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: