# MS. MARY THERESA O'SULLIVAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063736718
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC0060X | Critical Access Hospital | 209007963 | IL | — |
| 284300000X | Special Hospital | 209007963 | IL | — |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | 209007963 | IL | Yes |

## Other

- **Enumeration date:** 03/24/2010
- **Last updated:** 02/23/2015