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Individual

MOLLY LOUISE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1657 W CORTLAND ST, CHICAGO, IL 60622-1119
(877) 486-4140
Mailing address
2738 N PINE GROVE AVE APT 703, CHICAGO, IL 60614-6626
(301) 275-8376

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016953
IL

Other

Enumeration date
02/27/2026
Last updated
02/27/2026
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