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Organization

HENRY J SULLIVAN M D S C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HENRY JAMES SULLIVAN M.D. (PHYSICIAN OWNER)
(630) 718-0200
Entity
Organization

Contact information

Practice address
800 BIESTERFIELD RD, SUITE 560, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-2055
Mailing address
1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
(630) 718-0200
(630) 718-0900

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Enumeration date
08/31/2010
Last updated
01/06/2012
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