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Search › Illinois › 2085R0204X

Ian Sullivan, DO

NPI 1811384613 · on the registry since 2015

Practice

Address
2160 S 1st Ave
Maywood, IL 60153
Phone
(708) 216-5306
Organisation at this address
Walgreen Co
Walgreen Co
Rosin Optical Co., Inc.
Proviso Partners For Health
Loyola University Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,186

Registry record

Primary taxonomy
2085R0204X
2085R0204X
Also registered as
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-06-07

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