Healthcare Provider Details

I. General information

NPI: 1841131877
Provider Name (Legal Business Name): JENNIFER MARIE GALVAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 N HIGHLAND AVE
AURORA IL
60506-1404
US

IV. Provider business mailing address

916 N WOLFE ST
SANDWICH IL
60548-1022
US

V. Phone/Fax

Practice location:
  • Phone: 630-264-8880
  • Fax: 630-264-8496
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number041348134
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: