DR. SUZANNE MARIE GALLOWAY (NPI# 1033319181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033319181 |
Entity Type | Individual |
Full Name | DR. SUZANNE MARIE GALLOWAY |
Credential | M.D. |
Practice Address |
1800 N Main St Wheaton IL 60187-3112 |
Mailing Address |
4801 Alberta Ave El Paso TX 79905-2707 |
Practice Telephone | 6306534240 |
Practice Fax Number | 6303156597 |
Mailing Telephone | 9152155000 |
Enumeration Date | 2007-07-18 |
Last Update Date | 2018-08-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 036119867 | IL | Allopathic & Osteopathic Physicians |
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
R8567 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE PTAN INDIVIDUAL | F400274105 | 01 |
IL | MEDICARE PTAN GROUP | 206147 | 01 |
Street Address |
1800 N MAIN ST |
City | WHEATON |
State | IL |
Zip Code | 60187-3112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407855919 | Marla C. Krueger | Nurse Practitioner | 1800 N Main St, Wheaton, IL 60187-3112 | 2005-07-18 |
1073944922 | Heidi M Mathew | Nurse Practitioner | 1800 N Main St, Wheaton, IL 60187 | 2013-12-03 |
1871832311 | Ann Michelle Herzmann | Nurse Practitioner | 1800 N Main St, Wheaton, IL 60187-3112 | 2013-02-04 |
1598049645 | Rosanne J Browne | Family Medicine | 1800 N Main St, Wheaton, IL 60187-3112 | 2011-10-07 |
1114218799 | Megan C Flahive | Obstetrics & Gynecology | 1800 N Main St, Wheaton, IL 60187 | 2011-04-29 |
1457596124 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 1800 N Main St, Wheaton, IL 60187-3112 | 2008-12-10 |
1730349671 | Miguel A Salas | Family Medicine | 1800 N Main St, Wheaton, IL 60187-3112 | 2008-06-13 |
1366609323 | Anita Kinga Bednarz | Family Medicine | 1800 N Main St, Wheaton, IL 60187-3112 | 2008-05-19 |
1053450494 | Ancy Zacharia | Nurse Practitioner | 1800 N Main St, Second Floor, Wheaton, IL 60187-3112 | 2007-02-05 |
1548324502 | Daniel Rataj | Psychologist | 1800 N Main St, Wheaton, IL 60187-3112 | 2006-12-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
Find all providers in zip 60187 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255427639 | John J Messitt | Obstetrics & Gynecology | 2001 W Wiesbrook Rd, Wheaton, IL 60187-7813 | 2006-10-05 |
1801832787 | Associates In Gynecology Ltd | Obstetrics & Gynecology | 1604 N Main St, Wheaton, IL 60187-3145 | 2006-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477167112 | Omnidoc Health Inc | Obstetrics & Gynecology | 351 Greenleaf St Ste E, Park City, IL 60085-5701 | 2020-09-01 |
1396142857 | Illinois Institute of Gynecology and Advanced Pelvic Surgery, Sc | Obstetrics & Gynecology | 1351 W Belmont Ave, Chicago, IL 60657-7195 | 2014-11-28 |
1902171325 | Womens Health Institute of Illinois Ltd | Obstetrics & Gynecology | 10762 W 167th St, Orland Park, IL 60467-5434 | 2012-03-19 |
1609148303 | Archimedes Sison Diamante | Obstetrics & Gynecology | 949 N Euclid Ave, Oak Park, IL 60302-1319 | 2012-01-27 |
1376821025 | Prairieview Gyn LLC | Obstetrics & Gynecology | 3929 Morgan Trl, Bourbonnais, IL 60914-4738 | 2011-07-29 |
1932493236 | Integrative Medical Options LLC | Obstetrics & Gynecology | 305 N. 2nd St, St. Charles, IL 60174 | 2011-06-03 |
1477715142 | Michel Medical Assoc., S.c. | Obstetrics & Gynecology | 2600 S Michigan Ave Ste 314, Chicago, IL 60616-2860 | 2008-06-25 |
1477727550 | All Women's Medical Center | Obstetrics & Gynecology | 3140 W Irving Prk. Rd, Chicago, IL 60618 | 2008-04-18 |
1053581371 | S L Fuentes Md D M Milanes Md Sc | Obstetrics & Gynecology | 107 Center St, Grayslake, IL 60030-1532 | 2008-03-03 |
1477731784 | Marianna Vardaka Md Inc | Obstetrics & Gynecology | 1087 Solutions Ctr, Chicago, IL 60677-1000 | 2008-02-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.