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Individual

MELVIN GALLEGOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3018 S SPAULDING AVE, CHICAGO, IL 60623-4747
(170) 899-6520
(708) 996-5205
Mailing address
3018 S SPAULDING AVE, CHICAGO, IL 60623-4747
(708) 996-5205
(708) 477-4738

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
344600000X
Taxi
Primary
G42260586028
IL

Other

Enumeration date
02/07/2018
Last updated
02/07/2018
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