Individual Healthcare Provider
Natalie J Gallivan
Provider's NPPES record last updated: April 17, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1962257642
- Primary Specialty
- Mastectomy Fitter
- Practice Location
- Bloomington, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 11:46 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Mastectomy Fitter
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Taxonomy code 224900000X
Practice Locations
Practice Location
3002 Gill St
Bloomington, Illinois 61704-3438
Phone: (309) 664-7930
Additional Practice Location
200 Howard Ave Ste 206
Des Plaines, Illinois 60018-5907
Phone: (309) 664-7930
Fax: (309) 664-7931
Additional Practice Location
5300 S 108th St Ste 19
Hales Corners, Wisconsin 53130-1368
Phone: (309) 664-7930
Fax: (309) 664-7931
Record Information
- Enumeration Date
- April 17, 2024
- Provider's NPPES Record Last Updated
- April 17, 2024
- Certification Date
- April 17, 2024
- NPISignal NPPES Dataset
- August 2026
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