Provider Demographics
NPI:1891236758
Name:GALINDO, AZUCENA E
Entity Type:Individual
Prefix:
First Name:AZUCENA
Middle Name:E
Last Name:GALINDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IL
Mailing Address - Zip Code:60538-2334
Mailing Address - Country:US
Mailing Address - Phone:630-251-3644
Mailing Address - Fax:
Practice Address - Street 1:36 HAMPTON RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:IL
Practice Address - Zip Code:60538-2334
Practice Address - Country:US
Practice Address - Phone:630-251-3644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-12
Last Update Date:2017-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter