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Individual

DR. PAUL A GALLUZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
6999 REDANSA DRIVE, ROCKFORD, IL 61108-1201
(815) 229-1008
(815) 229-1654
Mailing address
6999 REDANSA DRIVE, ROCKFORD, IL 61108-1201
(815) 229-1008
(815) 229-1654

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
601-01258
BCBS
IL
01
602-01257
BCBS
IL
Enumeration date
08/21/2006
Last updated
07/08/2007
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