SHELLEY GALLIVAN (NPI# 1083807606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083807606 |
| Entity Type | Individual |
| Full Name | SHELLEY GALLIVAN |
| Credential | NNP |
| Practice Address |
900 Jorie Blvd Suite 186 Oak Brook IL 60523-2213 |
| Practice Telephone | 6309546700 |
| Mailing Telephone | 6309546700 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2018-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
041328453 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | APN LICENSE | 209-005987 | 01 |
| IL | RN LICENSE | 041-328453 | 01 |
| Street Address |
900 JORIE BLVD SUITE 186 |
| City | OAK BROOK |
| State | IL |
| Zip Code | 60523-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251160 | Antranik S Poladian | Pediatrics | 900 Jorie Blvd, Oak Brook, IL 60523 | 2005-08-03 |
| 1629525985 | Shelley Pier, Msw, Lcsw | Social Worker | 900 Jorie Blvd, Suite 36, Oak Brook, IL 60523-2213 | 2016-09-03 |
| 1376804864 | Physician Services At Home S.c | Internal Medicine | 900 Jorie Blvd, Suite # 58c, Oak Brook, IL 60523-2213 | 2012-05-31 |
| 1487940417 | Prompt Care Diagnostics Inc | Clinic/Center | 900 Jorie Blvd, Ste 14-4, Oak Brook, IL 60523-2213 | 2011-06-28 |
| 1982802864 | Prasanna Kumar Turaka | Pediatrics | 900 Jorie Blvd, Oak Brook, IL 60523-2213 | 2007-07-03 |
| 1073731808 | Kevin M. Connolly | Chiropractor | 900 Jorie Blvd, Suite 104, Oak Brook, IL 60523-2213 | 2007-04-24 |
| 1609990894 | Katerji Pediatric Neurology & Assoc | Pediatrics | 900 Jorie Blvd, Suite 220, Oak Brook, IL 60523-3846 | 2007-03-16 |
| 1831223973 | Rohitkumar Vasa | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2007-03-14 |
| 1346392750 | Terri L. Russell | Nurse Practitioner | 900 Jorie Blvd, #186, Oak Brook, IL 60523-2213 | 2007-01-17 |
| 1366594624 | Karen Rose Schultz | Social Worker | 900 Jorie Blvd, Ste 234, Oak Brook, IL 60523 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358630 | Jennifer Renee Earnest | Counselor | 2526 Butterfield Road, Suite 138s, Oakbrook, IL 60523 | 2020-02-12 |
| 1881244614 | Meredith Elise Osborne | Pain Medicine | Joint Relief Institute, 600 22nd Street, Oak Brook, IL 60523 | 2019-09-13 |
| 1811450349 | Jessica A Kras | Physical Therapist | 2011 York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1356804876 | Derek M Jones | Physical Therapist | 2011 N. York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
| 1821537358 | The Anxiety Treatment Center - Western Suburbs, LLC | Counselor | 1100 Jorie Blvd, 227, Oak Brook, IL 60523 | 2017-02-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1154877850 | Sandhya Jayaram Shetty | Specialist/Technologist, Other | 1420 Kensington Rd., 201, Oak Brook, IL 60523 | 2016-09-01 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
| Find all providers in zip 60523 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346392750 | Terri L. Russell | Nurse Practitioner | 900 Jorie Blvd, #186, Oak Brook, IL 60523-2213 | 2007-01-17 |
| 1306884952 | Camille Dicostanzo | Nurse Practitioner | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381707 | Jamie Kaye Summers | Nurse Practitioner | 522 Clover Ct, Gibson City, IL 60936-1901 | 2020-09-23 |
| 1447697032 | Jessica Sue Krause | Nurse Practitioner | 1750 W Harrison St Fl 6, Chicago, IL 60612-3825 | 2013-05-23 |
| 1164798641 | Kate M Reed | Nurse Practitioner | 25 Thorndale Ct, South Elgin, IL 60177-3202 | 2012-03-28 |
| 1982975694 | Tiffany Amber Deriggi | Nurse Practitioner | 3831 N Sacramento Ave, Apt 1, Chicago, IL 60618-3530 | 2012-01-26 |
| 1154590214 | Patricia Mary Lumb | Nurse Practitioner | 2600 Children's Plaza, Chicago, IL 60614 | 2008-02-22 |
| 1841468139 | Mimi Noelle Hussussian | Nurse Practitioner | Children's Memorial Hospital, 2300children's Plaza, Box #253, Chicago, IL 60614 | 2008-02-20 |
| 1366610107 | Patricia Freeman Stevens | Nurse Practitioner | 316 N Park Rd, La Grange Park, IL 60526-1801 | 2008-02-14 |
| 1225250723 | Carolyn Patricia Seng | Nurse Practitioner | 5721 S. Maryland Ave, Chicago, IL 60637 | 2007-05-03 |
| 1487767117 | Robert Anthony Wisdom | Nurse Practitioner | 4444 S Prairie Ave, Chicago, IL 60653-3208 | 2006-08-16 |
| 1538771340 | Jennifer Aileen Burkett | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-08-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.