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Organization

SULLIVAN URGENT AID CENTERS, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL SULLIVAN M.D. (OWNER)
(630) 785-9100
Entity
Organization

Contact information

Practice address
6701 159TH ST, TINLEY PARK, IL 60477-1758
(708) 429-3300
Mailing address
PO BOX 87844, CAROL STREAM, IL 60188-7844
(630) 875-1500

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
06/21/2006
Last updated
10/27/2010
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