Provider Demographics
NPI:1427410885
Name:GAL, NOGA JENNY (MD)
Entity Type:Individual
Prefix:
First Name:NOGA
Middle Name:JENNY
Last Name:GAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1471 S MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2810
Mailing Address - Country:US
Mailing Address - Phone:312-202-0300
Mailing Address - Fax:123-202-0383
Practice Address - Street 1:1471 S MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2810
Practice Address - Country:US
Practice Address - Phone:123-202-0300
Practice Address - Fax:312-202-0383
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH1427410885208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics