Individual
KELLY GALANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62702-3757
(217) 545-3518
(217) 545-2711
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
(217) 545-3518
(217) 545-2711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125-066050
IL
Other
Enumeration date
07/19/2014
Last updated
03/14/2016
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