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Gregory Shergold
NPI 1467812677 · on the registry since 2016
Practice
- Address
- 4152 N Keystone Ave
Chicago, IL 60641 - Phone
- (773) 283-9071
- Fax
- (773) 283-9185
- Organisation at this address
- Lutheran Social Services Of Illinois
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois