Provider Demographics
NPI:1598003113
Name:GALLO, VALERIE MARIE (NNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:MARIE
Last Name:GALLO
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:MARIE
Other - Last Name:LAFRANCIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5831 S MONITOR AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60638-3623
Mailing Address - Country:US
Mailing Address - Phone:773-339-0013
Mailing Address - Fax:
Practice Address - Street 1:1653 W CONGRESS PKWY
Practice Address - Street 2:RUSH UNIVERSITY MEDICAL CENTER- NEONATAL ICU
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3833
Practice Address - Country:US
Practice Address - Phone:888-352-7874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0990617-NP363LN0000X
IL209011147363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal