Provider Demographics
NPI:1962734236
Name:CALIP, GREGORY SAMPANG (PHARMD, MPH, PHD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:SAMPANG
Last Name:CALIP
Suffix:
Gender:M
Credentials:PHARMD, MPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 S WOOD ST
Mailing Address - Street 2:MC 871, ROOM 287
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-7229
Mailing Address - Country:US
Mailing Address - Phone:312-996-7879
Mailing Address - Fax:312-996-2954
Practice Address - Street 1:833 S WOOD ST
Practice Address - Street 2:MC 871, ROOM 287
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-7229
Practice Address - Country:US
Practice Address - Phone:312-996-7879
Practice Address - Fax:312-996-2954
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052683183500000X
IL051293452183500000X
WAPH60190480183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist