Individual
MICHAEL JOHN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6015 RIDGEWOOD CIR, DOWNERS GROVE, IL 60516-1779
(708) 202-8387
Mailing address
6015 RIDGEWOOD CIR, DOWNERS GROVE, IL 60516-1779
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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