Deborah Jeanne Galen, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Practice address

2410 Sampson St
Fisher Clinic, BLDG 237
Great Lakes, IL 60088-2942

Phone

(847) 688-5556

Fax

(847) 688-2512

NPI assigned

Oct 20, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Deborah J Galen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366431504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 INDIAN HILL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891902",
            "telephone_number": "847-688-5556",
            "fax_number": "847-688-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SAMPSON ST",
            "address_2": "FISHER CLINIC, BLDG 237",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600882942",
            "telephone_number": "847-688-5556",
            "fax_number": "847-688-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALEN",
        "first_name": "DEBORAH",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "GALEN",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jason Alan Fowler, D.D.S.
• Robert Kurt Frisk, DDS
• Edward Raymond Frye, LCSW
• Evan Fuchs
• John Allan Clayton Fulling, IDC
• Walter Gallagher
• David Aaron Galvan, IDC
• Jason Ted Geary, DDS
• Steven Leon Geary, DPM
• Jesse Robert Geibe, MD, MPH, MBA

• General Practice Physician in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.