| Doctor Name: | NANCY A. GALLAGHER |
| NPI Number: | 1184653503 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW,LCSW |
| License Number: | 149-007521 |
| Business Practice Address: | 3001 Green Bay Rd Bldg 135 Rm A-50 North Chicago, IL - 600643048 |
| Business Phone Number: | 2246104841 |
| Business Fax Number: | 2246103938 |
| Mailing Address: | 3001 Green Bay Rd, Bldg 135 Rm A-50 NORTH CHICAGO |
| State: | IL |
| Postal Code: | 600643048 |
| Phone Number: | 2246104841 |
| Fax Number: | 2246103938 |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 12/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149-007521 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |