Natalie J Gallivan
NPI #1962257642 in Bloomington, Illinois
Provider Information
- NPI Number
- 1962257642
- Entity Type
- Individual
- Name
- Natalie J Gallivan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Mastectomy Fitter
- Enumeration Date
- Apr 17, 2024
- Last Updated
- Apr 17, 2024
Practice Location
- Address
- 3002 GILL ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-3438
- Phone
- (309) 664-7930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Mastectomy Fitter |
Additional Practice Locations
200 Howard Ave Ste 206
Des Plaines, IL, 60018-5907
(309) 664-7930
5300 S 108th St Ste 19
Hales Corners, WI, 53130-1368
(309) 664-7930
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