Richard E Gallup, M.D

NPI #1962484923 in Mount Prospect, Illinois

Provider Information

NPI Number: 1962484923
Entity Type: Individual
Name: Richard E Gallup, M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D
Enumeration Date: Nov 16, 2005
Last Updated: Oct 5, 2010

Practice Location

Address: 250 W KENSINGTON RD
Address 2: SUITE 1 A
City: Mount Prospect
State: Illinois
ZIP Code: 60056-1293
Phone: (847) 483-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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