Individual
CATHLEEN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
407 N LA GRANGE RD, LA GRANGE PARK, IL 60526-5623
(708) 482-9320
(708) 482-9760
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013380
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070-013380
LICENSE #
IL
Enumeration date
08/30/2006
Last updated
07/27/2022
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