Natalie J Gallivan
Natalie J Gallivan is a Mastectomy Fitter in Bloomington, Illinois. Works from 3 locations. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3002 Gill StBloomington, IL 61704-3438
Phone: (309) 664-7930
Fax: (309) 664-7931
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 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
Specialties & licences
| Mastectomy Fitter (primary) | Taxonomy 224900000X |
|---|
Record details
| NPI number | 1962257642 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 17, 2024 |
| Last updated in NPPES | April 17, 2024 |
| Certification date | April 17, 2024 |
| Mailing address | 28099 W Rockwell Ct, Lakemoor, IL 60051-6606 |