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Search › Illinois › Neuroradiology Physician

Kenneth Sullivan, MD

NPI 1619929478 · on the registry since 2006

Practice

Address
1416c South Randall Road
Randall Square Shopping Center
Geneva, IL 60134
Phone
(630) 208-9325
Fax
(630) 208-9326
Organisation at this address
Provena Imaging Services Inc
Randallwood Radiology Associates, S. C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Neuroradiology Physician
2085N0700X
Also registered as
Diagnostic Radiology Physician
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

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