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Organization
TERENCE P. SULLIVAN, MD, SC
Active
Organization
TERENCE P. SULLIVAN, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERENCE P. SULLIVAN M.D. (PHYSICIAN/OWNER)
(312) 922-1374
Entity
Organization
Contact information
Practice address
200 S MICHIGAN AVE, SUITE 830, CHICAGO, IL 60604-2402
(312) 922-1374
Mailing address
200 S MICHIGAN AVE STE 803, CHICAGO, IL 60604-2418
(312) 922-2500
(312) 922-2525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634412
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
11/08/2007
Last updated
05/15/2017
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