Individual
KATHRYN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1467 N ELSTON AVE STE 103, CHICAGO, IL 60642-2449
(312) 943-3600
Mailing address
2264 W 111TH PL, CHICAGO, IL 60643-3951
(312) 636-5686
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013354
IL
Other
Enumeration date
09/20/2019
Last updated
10/30/2019
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