Individual
DR. DANA M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
900 N KINGSBURY ST STE 130N, CHICAGO, IL 60610-7457
(312) 775-1100
Mailing address
12712 BLUEBELL AVE, HUNTLEY, IL 60142-6367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.028043
IL
Other
Enumeration date
04/04/2023
Last updated
09/05/2023
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