Organization Active NPI

Andrea K Gale DC, LLC

  • Health Service Clinic/Center
  • Rockford, IL
National Provider Identifier
1801051669
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
038008655 Issued in IL
Legal business name
ANDREA K GALE DC, LLC
Practice address
2826 Woodhill Dr
Rockford, IL 61114-6340
Phone
(815) 877-7237
Fax
(815) 633-7274
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Andrea K. Gale, D.C.
Title
Owner
Phone
(815) 877-7237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 038008655 IL Primary

Addresses

Primary practice location

2826 Woodhill Dr
Rockford, IL 61114-6340

Mailing address

421 River LN
Loves Park, IL 61111-5040
Phone (815) 633-7272

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1801051669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 RIVER LN",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611115040",
            "telephone_number": "815-633-7272",
            "fax_number": "815-633-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 WOODHILL DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146340",
            "telephone_number": "815-877-7237",
            "fax_number": "815-633-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA K GALE DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "GALE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-877-7237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "038008655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.