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Contact Information

STACIE R GREGORY, MD
720 N BOND ST
SPRINGFIELD, IL62702-4952
 Phone: 217-545-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for STACIE R GREGORY · (Female)

NPI # 1336436435
Status Active
Credentials MD
Entity Individual
Enumeration date 07/09/2011
Last updated 02/12/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-142803
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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