Organization
MARY LYNN SULLIVAN, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY LYNN SULLIVAN MD (PRESIDENT)
(708) 499-4190
Entity
Organization
Contact information
Practice address
5660 W 95TH ST, SUITE 5, OAK LAWN, IL 60453-2380
(708) 499-4190
(708) 857-4427
Mailing address
5660 W 95TH ST, SUITE 5, OAK LAWN, IL 60453-2380
(708) 499-4190
(708) 857-4427
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036077688
IL
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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