Gallagher, J Richard

Gallagher, J Richard is an sole proprietor health care provider with primary practice located at 2114 Deerpath Rd Ste 2 , Aurora IL 60506-7945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gallagher, J Richard can be contacted via phone (630) 907-0010.

Contact Information

Primary practice address
2114 Deerpath Rd Ste 2 Aurora IL 60506-7945
Phone: (630) 907-0010
Fax: (630) 907-0023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-041174 Illinois

Profile Details

NPI number 1548322639
LBN Legal business name Gallagher, J Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Dec 17th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548322639 NPPES
Illinois Other 204858 UNITED HEALTH CARE
Illinois Other 280933 UNITED HEALTH CARE
Illinois Other 4658415 UNITED HEALTH CARE
Illinois MEDICAID 036-041174 UNITED HEALTH CARE
Illinois Other 4500426 UNITED HEALTH CARE

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