NPIMap

Organization Active NPI

Gallegos Dental, PLLC

  • General Practice Dentistry
  • Elmhurst, IL
National Provider Identifier
1609548064
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GALLEGOS DENTAL, PLLC
Practice address
152 N Addison Ave Ste 201
Elmhurst, IL 60126-2821
Phone
(630) 530-8852
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Evan Robert Gallegos, DMDNPI 1598335531
Title
Dentist
Phone
(815) 274-0198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

152 N Addison Ave Ste 201
Elmhurst, IL 60126-2821

Mailing address

15857 Spanglers Farm Dr
Plainfield, IL 60544-2160
Phone (815) 274-0198

Other practice location 1

18700 Wolf Rd Ste 200
Mokena, IL 60448-8603
Phone (708) 722-1600

National Provider Directory

National Provider Directory

Locations

152 N Addison Ave
Ste 201
Elmhurst, IL 60126
Phone (630) 530-8852

135 Brentwood Dr
Morris, IL 60450

12721 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 444-9415

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1609548064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15857 SPANGLERS FARM DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442160",
            "telephone_number": "815-274-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N ADDISON AVE STE 201",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262821",
            "telephone_number": "630-530-8852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18700 Wolf Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mokena",
            "state": "IL",
            "postal_code": "604488603",
            "country_code": "US",
            "telephone_number": "708-722-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GALLEGOS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "815-274-0198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.