Individual
DENISE M GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2625 BUTTERFIELD RD STE 138S, OAK BROOK, IL 60523-1244
(630) 528-3835
(630) 528-3837
Mailing address
2625 BUTTERFIELD RD STE 138S, OAK BROOK, IL 60523-1244
(630) 528-3835
(630) 528-3837
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041242874
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.002501
IL
Other
Enumeration date
11/10/2011
Last updated
03/08/2019
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