Individual
DONALD NICHOLAS SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 ASHLAND, MT ZION, IL 62549
(217) 864-2665
(217) 864-8042
Mailing address
104 ASHLAND, MT ZION, IL 62549
(217) 864-2665
(217) 864-8042
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
125-052745
IL
Other
Enumeration date
07/31/2007
Last updated
07/13/2022
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