Provider Demographics
NPI:1982605036
Name:GALINSKY, DENNIS LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:LEE
Last Name:GALINSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 34TH ST
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-5591
Mailing Address - Country:US
Mailing Address - Phone:630-734-9560
Mailing Address - Fax:630-734-9565
Practice Address - Street 1:6801 34TH ST
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-5591
Practice Address - Country:US
Practice Address - Phone:708-484-0011
Practice Address - Fax:708-484-0549
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2021-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360572382085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036057238Medicaid
ILWILL-L53911Medicare PIN
IL036057238Medicaid
ILNOMC COOK-209405006Medicare PIN