Individual
SARAH LIANE GALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Mailing address
338 W GOETHE ST, CHICAGO, IL 60610-1803
(207) 393-9877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041470008
IL
367500000X
Certified Registered Nurse Anesthetist
130170
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209020747
IL
Other
Enumeration date
05/13/2019
Last updated
08/28/2020
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