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Mary Sullivan

NPI 1881996288 · on the registry since 2010 · sole proprietor

Practice

Address
2300 N Commonwealth Ave
Unit 2e
Chicago, IL 60614
Phone
(312) 388-1313
Clinicians at this address
2

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-11-17

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