Mary Jeanine Gallucci, RN CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

041-212412 Issued in IL

Practice address

804 E Woodfield Rd
Schaumburg, IL 60173-4776

Phone

(224) 517-6660

Fax

(770) 723-8711

NPI assigned

Jan 14, 2022

Last updated

Jan 14, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1962153502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 NW 136TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232800",
            "telephone_number": "224-517-6660",
            "fax_number": "770-723-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E WOODFIELD RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734776",
            "telephone_number": "224-517-6660",
            "fax_number": "770-723-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUCCI",
        "first_name": "MARY",
        "middle_name": "JEANINE",
        "name_prefix": "Ms.",
        "credential": "RN CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IL",
            "license": "041-212412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neelima Gaikwad
• Emily Allyson Galanes, M.S., CCC-SLP
• Julia Wiktoria Galinska
• Anna Gallardo
• Tarah Galloway, LCPC
• Amy Gandhi, MD
• Jigna D Gandhi, MSN, NP -C
• Nidhi Gandhi, PHARM.D.
• Prafull C Gandhi, MD
• Matthew Ganser, DPT

• Case Management Registered Nurse in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Case Management Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.