Individual
MERRILL KEN GALERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17W300 22ND ST, SUITE 320, OAKBROOK TERRACE, IL 60181-4405
(630) 589-5010
(630) 589-5011
Mailing address
17W300 22ND ST, SUITE 320, OAKBROOK TERRACE, IL 60181-4405
(630) 589-5010
(630) 589-5011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036112459
IL
Other
Enumeration date
02/04/2006
Last updated
06/10/2009
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