Individual
DR. DAVID CARL GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2321 N WISCONSIN AVE, PEORIA, IL 61603-5613
(309) 495-8644
(309) 681-8443
Mailing address
2214 N UNIVERSITY ST, PEORIA, IL 61604-3221
(309) 495-8644
(309) 681-8443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036103155
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103155
—
IL
Enumeration date
06/27/2005
Last updated
09/15/2023
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