Organization
GALESBURG CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY H MICHALEK (CEO)
(309) 344-9371
Entity
Organization
Contact information
Practice address
3315 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-9371
(309) 344-1054
Mailing address
3315 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-9371
(309) 344-1054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4815127
B/C B/S
IL
Enumeration date
08/31/2006
Last updated
02/12/2008
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