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Organization
HENRY J SULLIVAN M D S C
Active
Organization
HENRY J SULLIVAN M D S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY JAMES SULLIVAN M.D. (PHYSICIAN OWNER)
(630) 718-0200
Entity
Organization
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 560, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-2055
Mailing address
1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
(630) 718-0200
(630) 718-0900
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
08/31/2010
Last updated
01/06/2012
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