Michelle Galligan, APRN, FNP-C | |
2151 Waukegan Rd, Bannockburn, IL 60015-1885 | |
(847) 663-8410 | |
Not Available |
Full Name | Michelle Galligan |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2151 Waukegan Rd, Bannockburn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215789805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209029296 (Illinois) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
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Michelle Galligan, APRN, FNP-C 2151 Waukegan Rd, Bannockburn, IL 60015-1885 Ph: () - | Michelle Galligan, APRN, FNP-C 2151 Waukegan Rd, Bannockburn, IL 60015-1885 Ph: (847) 663-8410 |
Kelly Tais Azambuja Cachoeira, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2151 Waukegan Rd Ste 100, Bannockburn, IL 60015 Phone: 847-444-5300 | |
Hannah Leavitt, DNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2101 Waukegan Rd Ste 104, Bannockburn, IL 60015 Phone: 847-317-1717 Fax: 847-317-9305 |