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Jenna Gallagher
NPI 1619525979 · on the registry since 2019
Practice
- Address
- 780 Mcardle Dr # Driveabc
Crystal Lake, IL 60014 - Phone
- (780) 220-6262
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois