Individual
MRS. CHRISTINE ANN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 LACOMA DR, LOCKPORT, IL 60441-3200
(773) 852-2885
(815) 588-1334
Mailing address
1222 LACOMA DR, LOCKPORT, IL 60441-3200
(815) 588-1334
(815) 588-1334
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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