Marie Ann Calayag Gallano

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070016397 Issued in IL

Practice address

979 Kensington Dr
Northbrook, IL 60062

Phone

(708) 691-2631

NPI assigned

Apr 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aranem Incorporated

  • Physical Therapist
  • Carpentersville, IL
  • NPI 1063963908
  Medicare reassignment NPD

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1699065920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 KENSINGTON DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625969",
            "telephone_number": "708-691-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 KENSINGTON DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "708-691-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLANO",
        "first_name": "MARIE ANN",
        "middle_name": "CALAYAG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENCE NUMBER",
            "identifier": "G45054376939",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Eileen Funk, PSY.D.
• Elizabeth Fyfe, M.S. CCC-SLP
• Gaf/Lake Cook Terrace
• Joel Galiotto
• Tammy Louise Galizia, DPM
• Kayla Galvan
• Vanessa Galvan
• Laurie Denise Garber Amram, LCSW
• Celeste Garcia
• Danica Garcia

• Physical Therapist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.