Individual
DR. CARLA ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1535 47TH AVE, SUITE 5, MOLINE, IL 61265-7088
(309) 797-4203
Mailing address
2001 52ND AVE, STE 1, MOLINE, IL 61265-6368
(309) 797-4203
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-012042
IL
Other
Enumeration date
11/02/2011
Last updated
08/08/2017
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