Elisa S Gallo, MD | |
738 W Northwest Hwy, Barrington, IL 60010-2640 | |
(847) 382-5111 | |
(847) 382-8993 |
Full Name | Elisa S Gallo |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 738 W Northwest Hwy, Barrington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861699795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 0101264331 (Virginia) | Primary |
Entity Name | Pinnacle Dermatology Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861930984 PECOS PAC ID: 8628353380 Enrollment ID: O20170320000738 |
Mailing Address | Practice Location Address |
---|---|
Elisa S Gallo, MD 738 W Northwest Hwy, Barrington, IL 60010-2640 Ph: (847) 382-5111 | Elisa S Gallo, MD 738 W Northwest Hwy, Barrington, IL 60010-2640 Ph: (847) 382-5111 |
Dr. Amy Jane Derick, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1531 S Grove Ave, Suite 101, Barrington, IL 60010 Phone: 847-381-8899 Fax: 847-381-8999 | |
Ms. Ashaki Patel, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 738 W Northwest Hwy, Barrington, IL 60010 Phone: 847-382-5111 Fax: 847-382-8993 | |
David Paul Van Dam, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 738 W Northwest Hwy, Barrington, IL 60010 Phone: 847-382-5111 Fax: 847-382-8993 |