Provider Demographics
NPI:1497765382
Name:GARVEY, SHARON MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:MARIE
Last Name:GARVEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 W 501 NIELSON LANE
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-6826
Mailing Address - Country:US
Mailing Address - Phone:708-269-4400
Mailing Address - Fax:630-455-5929
Practice Address - Street 1:16 W 501 NIELSON LANE
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-6826
Practice Address - Country:US
Practice Address - Phone:708-269-4400
Practice Address - Fax:630-455-5929
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-004685111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001682707OtherBCBS PROVIDER NUMBER
ILT37979Medicare UPIN
IL699040Medicare ID - Type UnspecifiedPROVIDER NUMBER