MEDICARE: MICHAEL JAMES GREGG LSW

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
1	1041C0700X	Clinical Social Worker	150.110571	IL
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1316614548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL JAMES GREGG LSW

Provider Business Mailing Address
First Line	:	106 S LINCOLNWAY
Second Line	:
City	:	NORTH AURORA
State	:	IL
Zip	:	60542-1663
Country	:	US
Telephone Number	:	630-801-1669
Fax Number	:

Provider Business Practice Location Address
First Line	:	1813 N MILL ST STE B
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-4872
Country	:	US
Telephone Number	:	630-428-2344
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2021
Last Update Date	:	03/13/2024

Similar Medicare Providers

1184586786 — KELLY RUSSELL
Practice Location Address:

1813 N MILL ST STE A
NAPERVILLE, IL
60563-4872

Practice Phone: 331-303-8600
Practice Fax:

1891870341 — MRS. NETALI CHOPRA LCPC
Practice Location Address:

1813 N MILL ST STE F
NAPERVILLE, IL
60563-4872

Practice Phone: 847-942-2512
Practice Fax:

1427365527 — BRIDGEVIEW CLINICAL SERVICES, LTD
Practice Location Address:

1813 N MILL ST STE F
NAPERVILLE, IL
60563-4872

Practice Phone: 630-536-8073
Practice Fax:

1841620986 — MS. BRIANA JAKUBIK
Practice Location Address:

1813 N MILL ST STE F
NAPERVILLE, IL
60563-4872

Practice Phone: 630-536-8073
Practice Fax:

1326557471 — MRS. LEAH WITHINGTON TRAVERS-PUCCI LCSW
Practice Location Address:

1813 N MILL ST STE B
NAPERVILLE, IL
60563-4872

Practice Phone: 630-428-2344
Practice Fax:

1124629696 — AUDRA JOHNSON
Practice Location Address:

1813 N MILL ST STE F
NAPERVILLE, IL
60563-4872

Practice Phone: 630-536-8073
Practice Fax:

Directions to “ MICHAEL JAMES GREGG LSW” 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.