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NPI Code Detail

MEDICARE: NORMA LAURA GREGORIO-PEREZ

MEDICARE:   NORMA LAURA GREGORIO-PEREZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1255938908
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORMA LAURA GREGORIO-PEREZ
Provider Business Mailing Address
First Line : 558 RUSSELL RD
Second Line :
City : DEKALB
State : IL
Zip : 60115-2222
Country : US
Telephone Number : 815-501-7769
Fax Number :
Provider Business Practice Location Address
First Line : 1601 E MAIN ST # G
Second Line :
City : ST CHARLES
State : IL
Zip : 60174-2431
Country : US
Telephone Number : 630-880-0993
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2020
Last Update Date : 10/06/2020

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Directions to “ NORMA LAURA GREGORIO-PEREZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.