MEDICARE: MARY MACGREGOR D.O.

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	207RI0200X	Infectious Disease Physician	036-063587	IL

General Provider Information

NPI Number	:	1851571426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY MACGREGOR D.O.

Provider Business Mailing Address
First Line	:	9201 WAUKEGAN RD
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-2102
Country	:	US
Telephone Number	:	847-663-1566
Fax Number	:

Provider Business Practice Location Address
First Line	:	9201 WAUKEGAN RD
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-2102
Country	:	US
Telephone Number	:	847-663-1566
Fax Number	:

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

Provider Enumeration Date	:	11/12/2007
Last Update Date	:	02/12/2026

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