Shelley Gallivan
Nurse Practitioner - Neonatal
900 Jorie Blvd Suite 186
Oak Brook
, Illinois 60523-2213
Shelley Gallivan
Nurse Practitioner - Neonatal
900 Jorie Blvd Suite 186
Oak Brook
, Illinois 60523-2213
(630) 954-6700
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Shelley Gallivan
- 900 Jorie Blvd Suite 186
- Oak Brook, IL
- Zip : 60523-2213
- Phone : (630) 954-6700
Second Address
- Shelley Gallivan
- 900 Jorie Blvd Suite 186
- Oak Brook, IL
- Zip : 60523-2213
- Phone : (630) 954-6700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 041328453 | IL |
National Provider Identifier
| NPI | 1083807606 |
|---|---|
| Provider Name | Shelley Gallivan |
| First Address | Oak Brook, IL 60523-2213 |
| Second Address | Oak Brook, IL 60523-2213 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/08/2007 |
| Last Update Date | 22/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 041-328453 | RN LICENSE (01) | IL |
| 209-005987 | APN LICENSE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.