Individual
MR. WILLIAM JAMES SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
18660 GRAPHIC DR, TINLEY PARK, IL 60477-6257
(708) 686-1100
Mailing address
517 E SOUTH ST, DURAND, IL 61024-9674
(815) 222-6285
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003196
IL
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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