Pacelli, Gregory Joseph

Pacelli, Gregory Joseph is an sole proprietor health care provider with primary practice located at 3541 W Irving Park Rd Building 1E, Chicago IL 60618-3219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Pacelli, Gregory Joseph can be contacted via phone (773) 478-1600.

Contact Information

Primary practice address
3541 W Irving Park Rd Building 1E Chicago IL 60618-3219
Phone: (773) 478-1600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036103468 Illinois

Profile Details

NPI number 1245331388
LBN Legal business name Pacelli, Gregory Joseph
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Mar 4th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245331388 NPPES
Illinois MEDICAID 036103468

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