Search › Illinois › 367500000X
Kendell Sullivan, CRNA
NPI 1659569622 · on the registry since 2007
Practice
- Address
- 1396 Oak Ridge Ct
Willow Springs, IL 60480 - Phone
- (312) 865-0337
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-04-06
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