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Individual

MISS LUCIA DE GREGORIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
5339 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-1947

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
036161827
IL
204F00000X
Transplant Surgery Physician
S9674
TX
208600000X
Surgery Physician
46610
TX

Other

Enumeration date
05/28/2016
Last updated
10/03/2022
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