Individual
BENJAMIN GALACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2216 20TH ST, ZION, IL 60099-1648
(847) 746-8316
Mailing address
1278 W BLACK WOLF RD, ROUND LAKE, IL 60073-2321
(224) 637-0320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041388540
IL
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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