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Search › Illinois › 235Z00000X

Jaclyn Sullivan

NPI 1700432424 · on the registry since 2019

Practice

Address
12910 S La Grange Rd
Palos Park, IL 60464
Phone
(708) 448-1234
Organisation at this address
Jadan Group Ltd
Stevens Enterprises Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
237700000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-24

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