Individual
DR. DANIEL E SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7447 W TALCOTT AVENUE, SUITE 500 NORTHWEST ORTHOPAEDIC ASSOCIATES LTD, CHICAGO, IL 60631-3745
(773) 631-7898
(773) 631-3005
Mailing address
7447 W TALCOTT AVENUE, SUITE 500 NORTHWEST ORTHOPAEDIC ASSOCIATES LTD, CHICAGO, IL 60631-3745
(773) 631-7898
(773) 631-3005
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021604007
BSIL
IL
01
—
0242720001
DME
IL
Enumeration date
12/01/2005
Last updated
07/08/2007
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