Active NPI
Theresa Ellen Galan, AU.D.
- Audiologist
- Urbana, IL
National Provider Identifier
1649434002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147.001280
- Practice address
- 602 W University Ave
Department of Audiology
Urbana, IL 61801-2530 - Phone
- (217) 326-0252
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147.001280 | IL | Primary |
Addresses
Primary practice location
602 W University Ave
Department of Audiology
Urbana, IL 61801-2530
Mailing address
P.O. Box 6002
Apt 102
Urbana, IL 61803-6002
Phone (217) 326-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147.001280 | IL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1649434002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 6002",
"address_2": "APT 102",
"city": "URBANA",
"state": "IL",
"postal_code": "618036002",
"telephone_number": "217-326-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 W UNIVERSITY AVE",
"address_2": "DEPARTMENT OF AUDIOLOGY",
"city": "URBANA",
"state": "IL",
"postal_code": "618012530",
"telephone_number": "217-326-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALAN",
"first_name": "THERESA",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147.001280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.