Organization
GREGORIO R AGLIPAY MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORIO R AGLIPAY M.D. (PRESIDENT)
(773) 588-3293
Entity
Organization
Contact information
Practice address
5441 N SAINT LOUIS AVE, CHICAGO, IL 60625-4622
(773) 588-3293
(773) 333-5661
Mailing address
5501 W 79TH ST, SUITE 400, BURBANK, IL 60459-1784
(773) 884-4523
(773) 884-4580
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036063008
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063008
—
IL
01
—
1632313
BLUE SHIELD
IL
Enumeration date
07/18/2006
Last updated
12/15/2014
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