Active NPI
Durwick Galloway
- Social Worker
- Chicago, IL
National Provider Identifier
1326170333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 945 W Marquette Rd
Chicago, IL 60621-1846 - Phone
- (773) 358-3006
- Fax
- (773) 358-3012
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | IL | Primary |
Addresses
Primary practice location
945 W Marquette Rd
Chicago, IL 60621-1846
Mailing address
228 E 171St PL
South Holland, IL 60473-3312
Phone (708) 210-3094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326170333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 E 171ST PL",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604733312",
"telephone_number": "708-210-3094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 W MARQUETTE RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606211846",
"telephone_number": "773-358-3006",
"fax_number": "773-358-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOWAY",
"first_name": "DURWICK",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.