LAURA JEAN GALLES (NPI# 1639452188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639452188 |
| Entity Type | Individual |
| Full Name | LAURA JEAN GALLES |
| Credential | RPH |
| Practice Address |
315 N. Routet 31 Crystal Lake IL 60012 |
| Mailing Address |
315 North Rt 31 Crystal Lake IL 60012 |
| Practice Telephone | 8154042643 |
| Mailing Telephone | 8154042643 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051-033781 | IL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 361924025224 | 05 |
| Street Address |
315 N. ROUTET 31 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574629 | Joan M Ryan | Counselor | 610 N Route 31, Suite E, Crystal Lake, IL 60012 | 2015-12-23 |
| 1285972331 | Lauren Elyse Westerman | Physical Therapist | 1000 Brighton Ln, Crystal Lake, IL 60012 | 2013-01-24 |
| 1447537469 | Sean Gale | Pharmacist | 135 Carmella Dr, Crystal Lake, IL 60012 | 2011-11-04 |
| 1477836625 | Judy Meekyung Fakhouri | Pharmacist | 315 N. Route 31, Crystal Lake, IL 60012 | 2011-09-23 |
| 1730462136 | Leslie Dawn Weckerlin | Pharmacist | 315 N Route 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1326320516 | Stacey Jean Knuth | Pharmacist | 315 North Route 31, Crystal Lake, IL 60012 | 2011-09-13 |
| 1356469803 | Donn Orien Humphries | Chiropractor | 690 N Route 31, Suite F, Crystal Lake, IL 60012 | 2007-03-26 |
| 1538204508 | Midwest Physical Therapy Ctr | Clinic/Center | 630 N Rt 31, Suite 103, Crystal Lake, IL 60012 | 2007-02-20 |
| 1356488415 | Charlotte Joy Parcels | Social Worker | 8600 Route 14, Suite 110, Crystal Lake, IL 60012 | 2007-01-30 |
| 1437212982 | Denise Frances Schlofner | Speech-Language Pathologist | 3007 Open Gate Rd, Crystal Lake, IL 60012 | 2006-12-18 |
| Find all providers in zip 60012 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402203 | Edian Banuelos | Pharmacist | 1205 S State Route 31, Crystal Lake, IL 60014-8213 | 2020-06-19 |
| 1245572833 | Jennifer Lynn Oetgen | Pharmacist | 742 Seybrooke Ln, Crystal Lake, IL 60012-3773 | 2013-03-21 |
| 1447537469 | Sean Gale | Pharmacist | 135 Carmella Dr, Crystal Lake, IL 60012 | 2011-11-04 |
| 1215212022 | Jeffrey Schotke | Pharmacist | 315 N Rte 31, Crystal Lake, IL 60012-3778 | 2011-10-13 |
| 1104100213 | Greg Otis Padjen | Pharmacist | 151 W Northwest Highway, Crystal Lake, IL 60014 | 2011-10-07 |
| 1477836625 | Judy Meekyung Fakhouri | Pharmacist | 315 N. Route 31, Crystal Lake, IL 60012 | 2011-09-23 |
| 1730462136 | Leslie Dawn Weckerlin | Pharmacist | 315 N Route 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1326320516 | Stacey Jean Knuth | Pharmacist | 315 North Route 31, Crystal Lake, IL 60012 | 2011-09-13 |
| 1902138126 | Samuel Gagliano | Pharmacist | 6000 Northwest Hwy, Crystal Lake, IL 60014-8062 | 2010-02-12 |
| 1982728986 | Dennis Forrest Swett | Pharmacist | 5340 Northwest Hwy, Crystal Lake, IL 60014-8012 | 2007-03-17 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60012 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.