Individual
KRISTEN GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
711 W NORTH AVE, CHICAGO, IL 60610-1174
(313) 337-1982
Mailing address
711 W NORTH AVE, CHICAGO, IL 60610-1174
(313) 337-1982
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036152189
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2016
Last updated
03/16/2021
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