Galesburg Anesthesiology, S.c.

NPI 1477504009 - Anesthesiology - 207L00000X

NPI Details
NPI 1477504009
Enumeration Date 05/16/2006
Last Updated 07/15/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SEAN K SEAN
Position OWNER
Phone (309) 343-8131
Fax (309) 343-6577
Practice Location
695 N KELLOGG ST
GALESBURG IL, 61401-2807, US
Phone (309) 343-8131
Fax (309) 343-6577
Business Location
1048 E LOSEY ST
GALESBURG IL, 61401-3874, US
Phone (309) 343-0557
Fax (309) 343-6577
Toxanomy
Taxonomy Code 207L00000X
License State Illinois
License Number 036116553
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According to our database, Galesburg Anesthesiology, S.c. NPI is 1477504009, taxonomy code is 207L00000X and license number is 036116553, license state is located at Illinois. Galesburg Anesthesiology, S.c. physically located at 695 N Kellogg St, Galesburg IL, 61401-2807. NPI Number 1033115704 has the healthcare provider type.

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1477504009 NPI number is provided on an as is basis without warranty of any kind. 1477504009 is maintained by the National Plan & Provider Enumeration System. The contents of Galesburg Anesthesiology, S.c. are for informational purposes only.