Organization
GALESBURG ANESTHESIOLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN K KANE M.D. (OWNER)
(309) 343-0557
Entity
Organization
Contact information
Practice address
695 N KELLOGG ST, GALESBURG, IL 61401-2807
(309) 343-8131
(309) 343-6577
Mailing address
1048 E LOSEY ST, GALESBURG, IL 61401-3874
(309) 343-0557
(309) 343-6577
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036116553
IL
Other
Enumeration date
05/16/2006
Last updated
07/15/2010
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