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Individual
DR. GREGORY DEAN MALO
Active
Individual
DR. GREGORY DEAN MALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
IL
103TA0700X
Adult Development & Aging Psychologist
Primary
—
IL
103TF0200X
Forensic Psychologist
071-2647
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02233000
BLUE CROSS BLUE SHEILD
IL
Enumeration date
12/26/2006
Last updated
09/11/2025
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