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Individual
STEPHEN J GALLAGHER
Active
Individual
STEPHEN J GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31623170
BLUE CROSSBLUE SHIELD
IL
Enumeration date
07/02/2007
Last updated
03/06/2008
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