Individual
CARLY L GALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1414 CROSS ST STE 240, SHILOH, IL 62269-2988
(618) 234-2390
Mailing address
1414 CROSS ST STE 240, SHILOH, IL 62269-2988
(618) 234-2390
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021624
IL
363LF0000X
Family Nurse Practitioner
209021624
IL
Other
Enumeration date
07/26/2021
Last updated
01/17/2023
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