Individual
HARNEET GAHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3505 N. BELL SCHOOL RD., ROCKFORD, IL 61114
(779) 696-0300
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(815) 285-5865
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036145509
IL
207Q00000X
Family Medicine Physician
036145509
IL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
036-145509
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036145509
—
IL
Enumeration date
06/17/2015
Last updated
02/27/2024
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