Richard E Gallup, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036090453 Issued in IL

Practice address

250 W Kensington Rd
Suite 1 a
Mount Prospect, IL 60056-1293

Phone

(847) 483-0200

Fax

(847) 483-0201

NPI assigned

Nov 16, 2005

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Advocate Health and Hospitals Corporation

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455
  NPD (past)
• Metrodocs, S.C.

  • Family Medicine Physician
  • Mt Prospect, IL
  • NPI 1760607634
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1962484923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W KENSINGTON RD",
            "address_2": "SUITE 1 A",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561293",
            "telephone_number": "847-483-0200",
            "fax_number": "847-483-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W KENSINGTON RD",
            "address_2": "SUITE 1 A",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561293",
            "telephone_number": "847-483-0200",
            "fax_number": "847-483-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUP",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036090453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Mount Prospect, LLC
• James P. Frett, DDS
• Kelly Marie Freund, M.S. CCC-SLP
• Ariana Galle
• Gallup Family Practice,LTD.
• Carmen Garcia
• Princess May Garcia
• Lauren Michelle Garside, PA-C
• Garskof Therapeutics PLLC
• Tiffani Brice Garskof, OTD, OTR/L

• Family Medicine Physician in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.