Individual
DR. GREGORY DEAN MALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
246 E JANATA BLVD, SUITE 140, LOMBARD, IL 60148-5317
(630) 424-8900
(630) 424-9017
Mailing address
163 SADDLE BROOK DR, OAK BROOK, IL 60523-2652
(630) 920-9627
(630) 424-9017
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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