Individual
DR. CECIL WAYNE GALLOPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
801 ILLINI DR, SILVIS, IL 61282-1804
(309) 792-7043
Mailing address
801 ILLINI DR, SILVIS, IL 61282-1804
(309) 281-7065
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-082049
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054320
HEALTH ALLIANCE
—
01
—
239407
MIDLANDS CHOICE
—
05
—
41053
—
IL
01
—
930010658
RAILROAD MEDICARE
—
01
—
96928
BLUE CROSS BLUE SHIELD
IA
01
—
E70596
BLUE CROSS BLUE SHIELD
IL
01
—
E70596
TRICARE
—
Enumeration date
05/23/2006
Last updated
06/01/2021
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