# GALESBURG ANESTHESIOLOGY, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477504009
- **Authorized official:** SEAN K KANE M.D. (OWNER)
- **Authorized official phone:** (309) 343-0557

## Contact information

- **Practice address:** 695 N KELLOGG ST, GALESBURG, IL 61401-2807
- **Practice address phone:** (309) 343-8131
- **Practice address fax:** (309) 343-6577
- **Mailing address:** 1048 E LOSEY ST, GALESBURG, IL 61401-3874
- **Mailing address phone:** (309) 343-0557
- **Mailing address fax:** (309) 343-6577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 036116553 | IL | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 07/15/2010
