Individual
SHANNON K GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1725 W HARRISON ST STE 10, CHICAGO, IL 60612-3849
(312) 563-3700
(312) 563-3701
Mailing address
1725 W HARRISON ST STE 10, CHICAGO, IL 60612-3849
(312) 563-3700
(312) 563-3701
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036166466
IL
208000000X
Pediatrics Physician
036166466
IL
Other
Enumeration date
06/28/2017
Last updated
08/17/2023
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