Active NPI
Thomas Kevin Gallagher, M.D.
- Transplant Surgery Physician
- Chicago, IL
National Provider Identifier
1386052629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- 125.065951
- Practice address
- 676 North St Clair St
Suite 1900
Chicago, IL 60611 - Phone
- (312) 695-1892
- NPI assigned
- Jul 31, 2014
- Last updated
- Sep 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 125.065951 | IL | Primary |
Addresses
Primary practice location
676 North St Clair St
Suite 1900
Chicago, IL 60611
Mailing address
676 North St. Clair Street
Suite 1900
Chicago, IL 60611
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.065951 | IL | MD | Transplant Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1386052629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 NORTH ST. CLAIR STREET",
"address_2": "SUITE 1900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 NORTH ST CLAIR ST",
"address_2": "SUITE 1900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-695-1892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "THOMAS",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-31",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "IL",
"license": "125.065951",
"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 Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.