Basic Information
Provider Information
NPI: 1215160320
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GALILI
FirstName: DORON
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3040 W SALT CREEK LN
Address2:  
City: ARLINGTON HEIGHTS
State: IL
PostalCode: 600051069
CountryCode: US
TelephoneNumber: 8476183481
FaxNumber: 8476183489
Practice Location
Address1: 800 W CENTRAL RD
Address2:  
City: ARLINGTON HEIGHTS
State: IL
PostalCode: 600052349
CountryCode: US
TelephoneNumber: 8472278987
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/24/2009
LastUpdateDate: 04/28/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X036130825ILN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X036130825ILY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home