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Individual

ELIZABETH GEEN GALLAGHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2113 MIDDLEFORK RD, NORTHFIELD, IL 60093-1120
(847) 501-2860
Mailing address
2113 MIDDLEFORK RD, NORTHFIELD, IL 60093-1120
(847) 501-2860

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056002522
IL

Other

Enumeration date
01/25/2010
Last updated
01/25/2010
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