Organization
CMG FAMILY WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIANNE PANGALLO FNP-C (FNP)
(708) 393-7533
Entity
Organization
Contact information
Practice address
198 E JEFFERSON ST, FRANKLIN, IN 46131-2323
(708) 393-7538
Mailing address
6948 WINDSOR AVE., BERVYN, IL 60402-3335
(708) 393-7533
(708) 394-0911
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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