Provider Demographics
NPI:1215968987
Name:AGLIPAY, GREGORIO RAPOSAS (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORIO
Middle Name:RAPOSAS
Last Name:AGLIPAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5441 N SAINT LOUIS AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-4622
Mailing Address - Country:US
Mailing Address - Phone:773-588-3293
Mailing Address - Fax:773-588-4452
Practice Address - Street 1:2315 E 93RD ST
Practice Address - Street 2:SUITE 338
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-3936
Practice Address - Country:US
Practice Address - Phone:773-734-2920
Practice Address - Fax:773-734-1200
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036063008208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036063008Medicaid
L92473Medicare ID - Type Unspecified
IL036063008Medicaid