Galena Clinic

NPI 1033408356 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1033408356
Enumeration Date 04/07/2011
Last Updated 04/07/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KENNETH P KENNETH
Position PRESIDENT
Phone (815) 777-1300
Fax (815) 777-1308
Practice Location
9567 W US ROUTE 20
GALENA IL, 61036-9119, US
Phone (815) 777-1300
Fax (815) 777-1308
Business Location
9567 W US ROUTE 20
GALENA IL, 61036-9119, US
Phone (815) 777-1300
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Illinois
License Number A-6258-0001-A
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According to our database, Galena Clinic NPI is 1033408356, taxonomy code is 251S00000X and license number is A-6258-0001-A, license state is located at Illinois. Galena Clinic physically located at 9567 W Us Route 20, Galena IL, 61036-9119. NPI Number 1033115704 has the healthcare provider type.

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1033408356 NPI number is provided on an as is basis without warranty of any kind. 1033408356 is maintained by the National Plan & Provider Enumeration System. The contents of Galena Clinic are for informational purposes only.