Dr. Gregory Dean Malo
Clinical Psychologist Forensic Psychologist Adult Development & Aging Psychologist
246 E Janata Blvd Suite 140
Lombard
, Illinois 60148-5317
Dr. Gregory Dean Malo
Clinical Psychologist Forensic Psychologist Adult Development & Aging Psychologist
246 E Janata Blvd Suite 140
Lombard
, Illinois 60148-5317
(630) 424-9017
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About
Features
Specialties
- Clinical Psychologist
- Adult Development & Aging Psychologist
- Forensic Psychologist
Languages spoken
- English
Location
First Address
- Dr. Gregory Dean Malo
- 163 Saddle Brook Dr
- Oak Brook, IL
- Zip : 60523-2652
- Fax : (630) 424-9017
- Phone : (630) 920-9627
Second Address
- Dr. Gregory Dean Malo
- 246 E Janata Blvd Suite 140
- Lombard, IL
- Zip : 60148-5317
- Fax : (630) 424-9017
- Phone : (630) 424-8900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | IL | |
| N | 103TC0700X | Clinical Psychologist | IL | |
| N | 103TA0700X | Adult Development & Aging Psychologist | IL | |
| N | 103TF0200X | Forensic Psychologist | 071-2647 | IL |
National Provider Identifier
| NPI | 1558426924 |
|---|---|
| Provider Name | Dr. Gregory Dean Malo |
| First Address | Oak Brook, IL 60523-2652 |
| Second Address | Lombard, IL 60148-5317 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/12/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02233000 | BLUE CROSS BLUE SHEILD (01) | IL |
| L 78777 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.