Shannon K Gallagher, DO
Internal Medicine, Hospice and Palliative Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1043731334
StatusActive
Last updated in NPPESAug 17, 2023
Details
- NPI
- 1043731334
- Entity type
- Individual (NPI-1)
- Name
- Shannon K Gallagher
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2017
- Certification date
- Aug 17, 2023
- Last updated
- Aug 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | 036166466 | IL | Yes |
| 208000000X | Pediatrics | 036166466 | IL |
Practice location
1725 W Harrison St Ste 10Chicago, IL 60612-3849
Phone 312-563-3700 · Fax 312-563-3701
Mailing address
1725 W Harrison St Ste 10Chicago, IL 60612-3849
Phone 312-563-3700 · Fax 312-563-3701
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