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Organization
ADDISON PODIATRY CENTER PLLC
Active
Organization
ADDISON PODIATRY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA SULLIVAN DPM (DOCTOR OF PODIATRIC MEDICINE)
(630) 205-4557
Entity
Organization
Contact information
Practice address
1250 W LAKE ST, ADDISON, IL 60101-5744
(630) 543-3000
Mailing address
198 SUNNYBROOK RD, GLEN ELLYN, IL 60137-6477
(630) 205-4557
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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