Individual
JOHN S SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
328 N LAKE ST, MUNDELEIN, IL 60060
(847) 566-5560
(847) 566-1311
Mailing address
328 N LAKE ST, MUNDELEIN, IL 60060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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