Gary David Gallagher, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016-003524 Issued in IL

Practice address

3550 Hobson Rd
Suite 204
Woodridge, IL 60517-1434

Phone

(630) 971-3338

Fax

(630) 971-3954

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Gary David Gallagher Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dupage Podiatry Center, P.C.

  • Podiatrist
  • Woodridge, IL
  • NPI 1902944622
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1104964808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 HOBSON RD",
            "address_2": "SUITE 204",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171434",
            "telephone_number": "630-971-3338",
            "fax_number": "630-971-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 HOBSON RD",
            "address_2": "SUITE 204",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171434",
            "telephone_number": "630-971-3338",
            "fax_number": "630-971-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "GARY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-003524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "GALLAGHER",
            "middle_name": "DAVID",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Marie Forbes, M.S., AMFT
• Devonshae Latrice Forrest
• Fresenius Medical Care Naperbrook, LLC
• Russell V. Fu, DDS
• Rosa L Fuentes, N.P.
• Rosendo Galvez, LMT
• Vikram H Gandhi, MD
• Denise G Garcia, PMHNP-BC, DNP
• Courtney Lee Garnett, OTR/L
• Frank Gayda

• Podiatrist in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.