Lucia De Gregorio, MD
Transplant Surgery in Maywood, IL. Individual provider (NPI-1).
NPI number1497103659
StatusActive
Last updated in NPPESOct 3, 2022
Details
- NPI
- 1497103659
- Entity type
- Individual (NPI-1)
- Name
- Miss Lucia De Gregorio
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 28, 2016
- Certification date
- Oct 3, 2022
- Last updated
- Oct 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204F00000X | Transplant Surgery | 036161827 | IL | Yes |
| 204F00000X | Transplant Surgery | S9674 | TX | |
| 208600000X | Surgery | 46610 | TX |
Other names
- Lucia De Gregorio Muniz (Former Name)
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
Mailing address
5339 Harry Hines BlvdDallas, TX 75390-7208
Phone 214-645-1947
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