Gallup Family Practice,LTD.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036090453 Issued in IL

Legal business name

GALLUP FAMILY PRACTICE,LTD.

Practice address

250 W Kensington Rd
Suite 1 a
Mt Prospect, IL 60056-1293

Phone

(847) 483-0200

Fax

(847) 483-0201

NPI assigned

Feb 12, 2010

Last updated

Feb 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard E. Gallup, M.D.NPI 1962484923

Title

President

Phone

(847) 483-0200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard E Gallup, M.D

  • Family Medicine Physician
  • Mount Prospect, IL
  • NPI 1962484923
  Authorized official Same address or phone

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1467784629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W KENSINGTON RD",
            "address_2": "SUITE 1 A",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600561293",
            "telephone_number": "847-483-0200",
            "fax_number": "847-483-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W KENSINGTON RD",
            "address_2": "SUITE 1 A",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600561293",
            "telephone_number": "847-483-0200",
            "fax_number": "847-483-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUP FAMILY PRACTICE,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "GALLUP",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-483-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036090453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia Fratianne
• Fresenius Medical Care Mount Prospect, LLC (Fresenius Kidney Care Mount Prospect)
• James P. Frett, DDS
• Kelly Marie Freund, M.S. CCC-SLP
• Ariana Galle
• Richard E Gallup, M.D
• Carmen Garcia
• Princess May Garcia
• Lauren Michelle Garside, PA-C
• Garskof Therapeutics PLLC

• Family Medicine Physician in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.