Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0300X | Geriatric Medicine | 209022833 | IL |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 209022833 | IL |
NPI | 1134720436 |
---|---|
Provider Name | April Renee Gallik |
First Address | Hickory Hills, IL 60457-1597 |
Second Address | Hickory Hills, IL 60457-1597 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2020 |
Last Update Date | 16/06/2021 |