Individual
SEAN TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1818 E WINDSOR RD, URBANA, IL 61802-9566
(217) 255-9770
(217) 255-9518
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 838-3311
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036176669
IL
207K00000X
Allergy & Immunology Physician
R3957
AZ
207R00000X
Internal Medicine Physician
036176669
IL
Other
Enumeration date
03/20/2019
Last updated
05/15/2026
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