Dr. Mia M. Gregor, Psy.D.
Psychologist, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1124201017
StatusActive
Last updated in NPPESDec 13, 2007
Details
- NPI
- 1124201017
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mia M. Gregor
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2007
- Last updated
- Dec 13, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071007338 | IL | Yes |
Practice location
405 N Wabash AveSuite 1114
Chicago, IL 60611-3591
Phone 312-755-7000
Mailing address
405 N Wabash AveSuite 1114
Chicago, IL 60611-3591
Phone 312-755-7000
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