Individual
ROBIN GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
405 RUSHING DR, HERRIN, IL 62948-3730
(618) 993-3300
(618) 997-6626
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001347
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043448
HEALTH ALLIANCE
—
01
—
080129117
RAILROAD MEDICARE
—
01
—
10019630
BCBS
—
05
—
143870
—
IL
01
—
174143
HEALTH LINK
—
Enumeration date
08/18/2006
Last updated
09/19/2023
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