Individual
MR. GREGORY PECK STAPLETON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15320 SOUTH EVERS, DOLTON, IL 60419
(708) 551-6550
Mailing address
15320 SOUTH EVERS, DOLTON, IL 60419
(708) 551-6550
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D15141608
IL
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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