Individual
DANIEL JOSEPH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 TRANSAM PLAZA DR, SUITE 360, OAKBROOK TERRACE, IL 60181-4822
(630) 785-9100
(630) 785-9199
Mailing address
P.O. BOX 5990, DEPT 20-6001, CAROL STREAM, IL 60197-5990
(630) 785-9100
(630) 785-9199
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
42965020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34087900
—
WI
Enumeration date
08/23/2005
Last updated
12/08/2011
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