Individual
RALPH K LOSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, GALENA, IL 61036-8118
(815) 777-1340
Mailing address
1 MEDICAL CENTER DR, GALENA, IL 61036-8118
(815) 777-1340
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36068994
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01620446
BLUE CROSS
IL
05
—
0360689941
—
IL
01
—
P00270628
RAILROAD MCR
—
Enumeration date
06/01/2006
Last updated
10/14/2020
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