Individual
DR. MARLENE GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1750 W HARRISON ST, ROOM 570 JELKE, CHICAGO, IL 60612-3825
(312) 942-5260
(312) 942-4228
Mailing address
1110 64TH ST, UNIT 10, LA GRANGE HIGHLANDS, IL 60525-4586
(708) 352-1613
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125052842
IL
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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