Gallup Family Practice,ltd.
NPI #1467784629 in Mt Prospect, Illinois
Provider Information
- NPI Number
- 1467784629
- Entity Type
- Organization
- Organization Name
- Gallup Family Practice,ltd.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 12, 2010
- Last Updated
- Feb 12, 2010
Practice Location
- Address
- 250 W KENSINGTON RD
- Address 2
- SUITE 1 A
- City
- Mt Prospect
- State
- Illinois
- ZIP Code
- 60056-1293
- Phone
- (847) 483-0200
Authorized Official
- Name
- DR. RICHARD E. GALLUP, M.D.
- Title
- PRESIDENT
- Phone
- (847) 483-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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