Provider Demographics
NPI:1669367298
Name:LOU C. GALLAGHER, PC
Entity type:Organization
Organization Name:LOU C. GALLAGHER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LOU
Authorized Official - Middle Name:C
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-585-3920
Mailing Address - Street 1:356 N WATER ST
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-1968
Mailing Address - Country:US
Mailing Address - Phone:630-585-3920
Mailing Address - Fax:
Practice Address - Street 1:28 S WATER ST STE 307
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-3104
Practice Address - Country:US
Practice Address - Phone:630-585-3920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty