Healthcare Provider Details

I. General information

NPI: 1306206305
Provider Name (Legal Business Name): MARIA ELENA GALLEGOS APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2016
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 OGDEN AVE STE 400
AURORA IL
60504-5898
US

IV. Provider business mailing address

2000 OGDEN AVE STE P050
AURORA IL
60504-7222
US

V. Phone/Fax

Practice location:
  • Phone: 630-692-5563
  • Fax: 630-692-5564
Mailing address:
  • Phone: 630-499-2404
  • Fax: 630-499-4750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277001633
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: