Individual
MR. MICHAEL ANTHONY GALVAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1225 W 31ST ST, CHICAGO, IL 60608-5507
(312) 437-0080
Mailing address
1225 W 31ST ST, CHICAGO, IL 60608-5507
(312) 437-0080
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-001139
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096-001139
LICENSE
IL
Enumeration date
09/07/2005
Last updated
03/02/2024
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