Basic Information
Provider Information
NPI: 1437119229
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GALE
FirstName: PATRICIA
MiddleName: MARIA
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 737 N MICHIGAN AVE STE 950
Address2:  
City: CHICAGO
State: IL
PostalCode: 606116659
CountryCode: US
TelephoneNumber: 3127517515
FaxNumber: 3127511208
Practice Location
Address1: 737 N MICHIGAN AVE STE 950
Address2:  
City: CHICAGO
State: IL
PostalCode: 60611
CountryCode: US
TelephoneNumber: 3127517515
FaxNumber: 3127511208
Other Information
ProviderEnumerationDate: 03/24/2006
LastUpdateDate: 08/26/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X036092949ILY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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