Provider Demographics
NPI:1871514562
Name:GALANTER, NOREEN (MD)
Entity type:Individual
Prefix:DR
First Name:NOREEN
Middle Name:
Last Name:GALANTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 W RAND RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-2315
Mailing Address - Country:US
Mailing Address - Phone:847-342-8220
Mailing Address - Fax:847-342-9394
Practice Address - Street 1:1051 W RAND RD # 110
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-2315
Practice Address - Country:US
Practice Address - Phone:847-342-8220
Practice Address - Fax:847-342-9394
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360856131207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0360856131Medicaid
IL0360856131Medicaid
F57521Medicare UPIN