Individual
SUSAN GALANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 690-4993
(630) 690-2293
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 690-4993
(630) 690-2293
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209004194
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400186615
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
05/17/2006
Last updated
04/15/2015
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