Provider Demographics
NPI:1588600647
Name:GALASSO, JOHN JR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:GALASSO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2454 E DEMPSTER ST
Mailing Address - Street 2:STE 400
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-5320
Mailing Address - Country:US
Mailing Address - Phone:847-299-0700
Mailing Address - Fax:847-390-0616
Practice Address - Street 1:2454 E DEMPSTER ST
Practice Address - Street 2:SUITE 400
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-5315
Practice Address - Country:US
Practice Address - Phone:847-299-0700
Practice Address - Fax:847-390-0616
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2019-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036113384207W00000X
IL036.113384207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology