Robin Lee Gallardi, BSC DDS MSC FRCD(C)

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

021002571 Issued in IL

Practice address

15300 West Ave
Suite 113
Orland Park, IL 60462-4600

Phone

(708) 348-4000

NPI assigned

Jun 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1881008472",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "37 GROSVENOR STREET APT 1607",
            "address_2": "ONTARIO CANADA M4Y 3G5",
            "city": "TORONTO",
            "state": "ONTARIO",
            "postal_code": "M4Y 3G5",
            "telephone_number": "416-877-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE",
            "address_2": "SUITE 113",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624600",
            "telephone_number": "708-348-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDI",
        "first_name": "ROBIN",
        "middle_name": "LEE",
        "credential": "BSC DDS MSC FRCD(C)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029722",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021002571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Wesley Gaines, PHARM. D.
• Krystyna Gal, D.O.
• Jose Galarza, SLP
• Renee Gale, P.T
• Arianna Galetta, OTR/L
• Jennifer Lynn Galle, MA, LCPC
• Katherine Gallo, PA-C
• Jamie Ann Galuhn, LSW
• Gilmarie Garay-Adames, MSW, LSW
• Araceli Garcia, COTA/L

• Oral and Maxillofacial Surgery (Dentist) in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.