Individual
MIA M. GALIOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 W IRVING PARK RD APT 5116, CHICAGO, IL 60613-3118
(573) 259-4730
(573) 259-4730
Mailing address
655 W IRVING PARK RD APT 5116, CHICAGO, IL 60613-3118
(573) 259-4730
(573) 259-4730
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36076328
IL
2084P0804X
Child & Adolescent Psychiatry Physician
23214
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
57168
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
953811
—
AZ
Enumeration date
11/22/2005
Last updated
05/03/2020
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