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General NPI Number Information
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NPI Number | 1508735697
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Entity Type | Individual
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Provider Name | VANESSA ISABEL GALLEGOS ED.S
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Gender | Female
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 8000 E PRAIRIE RD
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City | SKOKIE
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State | IL
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Zip | 60076-3402
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Country | US
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Telephone | 847-676-8233
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Fax |
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Provider Business Mailing Address
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Address Line | 3413 EMERSON ST
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City | FRANKLIN PARK
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State | IL
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Zip | 60131-1709
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Country | US
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Telephone | 630-317-4814
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 2677990
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License Number State | IL
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