Individual
KELLY GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209012249
IL
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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