Individual
KAREN IMMA C GELLADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 KYSOR DR, BYRON, IL 61010-9402
(309) 672-4977
Mailing address
130 KYSOR DR, BYRON, IL 61010-9402
(815) 971-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-127497
IL
207Q00000X
Family Medicine Physician
101961
WI
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
036-127497
IL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
101961
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096326
—
WI
Enumeration date
07/03/2008
Last updated
01/28/2026
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