Gregory, Stacie Renee

Gregory, Stacie Renee is an individual health care provider with primary practice located at 301 N 8Th St Pav 5B, Springfield IL 62701-1041. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Gregory, Stacie Renee can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
301 N 8Th St Pav 5B Springfield IL 62701-1041
Phone: (217) 545-8000
Fax: (217) 545-0253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036-142803 Illinois
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 036-142803 Illinois

Profile Details

NPI number 1336436435
LBN Legal business name Gregory, Stacie Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2011
Last updated Oct 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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