Individual
KIMBERLY ANNE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3000 N HALSTED ST STE 823, CHICAGO, IL 60657-6185
(773) 573-2828
Mailing address
3000 N HALSTED ST STE 823, CHICAGO, IL 60657-6185
(773) 573-2828
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
IL
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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