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Lydia Sullivan
NPI 1124579370 · on the registry since 2016
Practice
- Address
- 721 South Blvd
Suite 210
Oak Park, IL 60302 - Phone
- (312) 404-7225
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
- Licence states on file
- IL, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois