Individual provider Active NPI

Anthony Philip Grego, LMSW

  • Social Worker
  • North Aurora, IL
National Provider Identifier
1194108324
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
008106 Issued in IA
Practice address
161 S Lincolnway
Suite 120
North Aurora, IL 60542-1658
Phone
(708) 202-8387
Fax
(630) 859-2508
NPI assigned
Jul 7, 2015
Last updated
Jul 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 008106 IA Primary

Addresses

Primary practice location

161 S Lincolnway
Suite 120
North Aurora, IL 60542-1658

Mailing address

161 S Lincolnway
Suite 120
North Aurora, IL 60542-1658
Phone (708) 202-8387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008106IAMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1194108324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 S LINCOLNWAY",
            "address_2": "SUITE 120",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421658",
            "telephone_number": "708-202-8387",
            "fax_number": "630-859-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 S LINCOLNWAY",
            "address_2": "SUITE 120",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421658",
            "telephone_number": "708-202-8387",
            "fax_number": "630-859-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGO",
        "first_name": "ANTHONY",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "008106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.