Healthcare Provider Details

I. General information

NPI: 1346829363
Provider Name (Legal Business Name): HANNAH MARIE GARRIGAN MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 N MAIN ST
BLOOMINGTON IL
61701-1784
US

IV. Provider business mailing address

833 CHESTNUT ST STE 220
PHILADELPHIA PA
19107-4405
US

V. Phone/Fax

Practice location:
  • Phone: 309-829-5311
  • Fax: 309-827-8027
Mailing address:
  • Phone: 215-955-8465
  • Fax: 215-955-2516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number036.173061
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: