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Individual

DR. JOHN E SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
511 THORNHILL DR, SUITE H, CAROL STREAM, IL 60188-2795
(630) 665-7350
(630) 665-0004
Mailing address
511 EAST THORNHILL DRIVE, SUITE H, CAROL STREAM, IL 60188-2438
(630) 665-7350
(630) 665-0004

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018639
IL

Other

Enumeration date
11/21/2006
Last updated
10/22/2008
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