Provider Demographics
NPI:1508850405
Name:CARPIO, GREGORIO L (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORIO
Middle Name:L
Last Name:CARPIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 OGDEN AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-6193
Mailing Address - Country:US
Mailing Address - Phone:630-978-4800
Mailing Address - Fax:630-978-6791
Practice Address - Street 1:2020 OGDEN AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-5894
Practice Address - Country:US
Practice Address - Phone:630-978-4800
Practice Address - Fax:630-978-6791
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036082108207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF19485Medicare UPIN
ILF400108114Medicare PIN
ILL95857Medicare PIN