Organization
GALESBURG ORTHOPEDIC SERVICES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE M FARROW (ADMINSRATOR)
(309) 342-0194
Entity
Organization
Contact information
Practice address
834 N SEMINARY ST, SUITE 102, GALESBURG, IL 61401-2852
(309) 342-0194
(309) 342-9759
Mailing address
834 N SEMINARY ST, SUITE 102, GALESBURG, IL 61401-2852
(309) 342-0194
(309) 342-9759
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04815039
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/13/2006
Last updated
05/06/2008
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