Doctor Name: | KRYSTYNA GAL |
NPI Number: | 1588964357 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | OT012634 |
Business Practice Address: | 1501 S California Ave Suite C1300 Chicago, IL - 606081732 |
Business Phone Number: | 7732576601 |
Business Fax Number: | |
Mailing Address: | 1501 S California Ave, Suite C1300 CHICAGO |
State: | IL |
Postal Code: | 606081732 |
Phone Number: | 7732576601 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2010 |
NPI Last Update Date: | 10/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OT012634 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |