Provider Demographics
NPI:1437119229
Name:GALE, PATRICIA MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:MARIA
Last Name:GALE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 N MICHIGAN AVE STE 950
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-6659
Mailing Address - Country:US
Mailing Address - Phone:312-751-7515
Mailing Address - Fax:312-751-1208
Practice Address - Street 1:737 N MICHIGAN AVE STE 950
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-751-7515
Practice Address - Fax:312-751-1208
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036092949207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL204172Medicare ID - Type Unspecified
G54138Medicare UPIN