Merrill Ken Galera MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036112459 Issued in IL

Legal business name

MERRILL KEN GALERA MD SC

Practice address

17W300 22ND St Ste 320
Oakbrook Terrace, IL 60181-4490

Phone

(630) 589-5010

Fax

(630) 589-5011

NPI assigned

Mar 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Merrill Ken Galera, MDNPI 1821060757

Title

President

Phone

(630) 589-5010

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Merrill Ken Galera, MD

  • Family Medicine Physician
  • Oakbrook Terrace, IL
  • NPI 1821060757
  NPD (past) Authorized official

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1750522116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W300 22ND ST STE 320",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814490",
            "telephone_number": "630-589-5010",
            "fax_number": "630-589-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W300 22ND ST STE 320",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814490",
            "telephone_number": "630-589-5010",
            "fax_number": "630-589-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILL KEN GALERA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "GALERA",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_middle_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-589-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036112459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua McFarren
• Jennifer McGrath, LAC
• Irene Medina, MSW, LCSW
• Niki Mehta, OD
• Wincy Faith Mejias, PA
• Zakaria Messieha, DDSANESTHESIOLOGIST
• Tania Messmer, P.A.-C
• Miamedspa LTD
• Midamerica Orthopaedics, S.C. (MidAmerica Hand to Shoulder Clinic)
• Midwest Digestive Disease Specialists,S C

• Family Medicine Physician in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.