Individual
JAVIER GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 HOBBS DR, DELAVAN, WI 53115-2027
(262) 740-4200
(262) 740-4229
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.068159
IL
207Q00000X
Family Medicine Physician
Primary
71582
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091841
—
WI
Enumeration date
05/17/2016
Last updated
08/13/2025
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