Healthcare Provider Details

I. General information

NPI: 1619438637
Provider Name (Legal Business Name): LINNA L GALI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2019
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2455 CORPORATE WEST DR STE 200
LISLE IL
60532-3622
US

IV. Provider business mailing address

2455 CORPORATE WEST DR STE 200
LISLE IL
60532-3622
US

V. Phone/Fax

Practice location:
  • Phone: 312-947-6647
  • Fax:
Mailing address:
  • Phone: 312-947-6647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number036.181004
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number036.181004
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: