Individual
J RICHARD GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
2114 DEERPATH RD STE 2, AURORA, IL 60506-7945
(630) 907-0010
(630) 907-0023
Mailing address
2114 DEERPATH RD STE 2, AURORA, IL 60506-7945
(630) 907-0010
(630) 907-0023
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-041174
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-041174
—
IL
01
—
204858
UNITED HEALTH CARE
IL
01
—
280933
VALUE OPTIONS
IL
01
—
4500426
BLUE CROSS BLUE SHIELD
IL
01
—
4658415
AETNA
IL
Enumeration date
12/14/2006
Last updated
12/17/2020
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