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Individual

DR. BENJAMIN GALLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Mailing address
50 E 16TH ST UNIT 1213, CHICAGO, IL 60616-5145
(406) 581-8056

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
118648
MT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
135.001080
IL

Other

Enumeration date
06/23/2020
Last updated
03/27/2023
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