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Contact Information

CAROLYN J GALE, PA-C
101 N MAIN ST
WALNUT, IL61376
 Phone: 815-379-2020
 Fax: 815-379-2018
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CAROLYN J GALE · (Female)

NPI Number 1467640292
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/05/2007
Last updated 10/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 5541
  • CO License # 2224
  • IL License # 085001195
  • IL Medicaid 085001195
Hospital affiliation(s)
  • PERRY MEMORIAL HOSPITAL - (Critical Access)
    530 PARK AVENUE EAST
    PRINCETON, IL 61356
  • SAINT FRANCIS MEDICAL CENTER - (Acute Care)
    530 NE GLEN OAK AVE
    PEORIA, IL 61637
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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