Provider Demographics
NPI:1346613718
Name:GALLOWAY, CHRISTOPHER MICHAEL (DNP,FNP-BC, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MICHAEL
Last Name:GALLOWAY
Suffix:
Gender:M
Credentials:DNP,FNP-BC, PMHNP-BC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20660 CATON FARM ROAD
Mailing Address - Street 2:UNIT F
Mailing Address - City:CREST HILL
Mailing Address - State:IL
Mailing Address - Zip Code:60403-1201
Mailing Address - Country:US
Mailing Address - Phone:815-714-5430
Mailing Address - Fax:815-741-5369
Practice Address - Street 1:20660 CATON FARM ROAD
Practice Address - Street 2:UNIT F
Practice Address - City:CREST HILL
Practice Address - State:IL
Practice Address - Zip Code:60403
Practice Address - Country:US
Practice Address - Phone:815-714-5430
Practice Address - Fax:815-714-5369
Is Sole Proprietor?:No
Enumeration Date:2015-11-07
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL277000068363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health