Mia Galluch, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0037442 Issued in OH

Practice address

2662 N Lincoln Ave
Chicago, IL 60614-1307

Phone

(773) 657-5111

Fax

(773) 295-1182

NPI assigned

Sep 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Medical and Surgical Associates Inc

  • Family Medicine Physician
  • Newark, OH
  • NPI 1881787307

  Multi-Specialty, OH

  Medicare reassignment NPD
• Innovative Platinum Care, SC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1114397056

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1750116471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141307",
            "telephone_number": "773-657-5111",
            "fax_number": "773-295-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141307",
            "telephone_number": "773-657-5111",
            "fax_number": "773-295-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUCH",
        "first_name": "MIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0037442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Galloway, MT-BC
• Benjamin Galloway, DPM
• Durwick Galloway
• James Buckley Galloway
• Bianca Jordan Gallub, OTR/L
• Christine A Gallup, MS RD LDN
• Gabriella Noel Galluzzo
• Raymond M Galocy
• Shira Galston
• Brittney Nicole Galtney

• All providers in Chicago, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.