Active NPI
Mario M. Gallo & Linda R. Harper PTR
- Clinical Psychologist
- Evergreen Park, IL
National Provider Identifier
1770601064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- MARIO M. GALLO & LINDA R. HARPER PTR
- Practice address
- 3830 W 95TH St
Suite 110
Evergreen Park, IL 60805-2004 - Phone
- (708) 423-5330
- Fax
- (708) 423-5379
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda Ruth Harper, PH.D.
- Title
- Clinical Psychologist
- Phone
- (708) 423-5330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
3830 W 95TH St
Suite 110
Evergreen Park, IL 60805-2004
Mailing address
3830 W 95TH St
Suite 110
Evergreen Park, IL 60805-2004
Phone (708) 423-5330
National Provider Directory
National Provider DirectoryLocations
3830 W 95th St
Ste 110
Evergreen Pk, IL 60805
Phone (708) 423-5330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306800000000",
"number": "1770601064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 W 95TH ST",
"address_2": "SUITE 110",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052004",
"telephone_number": "708-423-5330",
"fax_number": "708-423-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 W 95TH ST",
"address_2": "SUITE 110",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052004",
"telephone_number": "708-423-5330",
"fax_number": "708-423-5379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIO M. GALLO & LINDA R. HARPER PTR",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2011-05-31",
"status": "A",
"authorized_official_last_name": "HARPER",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "RUTH",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "708-423-5330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.