Organization
MEA ELK GROVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J SULLIVAN MD (PRESIDENT)
(630) 734-0200
Entity
Organization
Contact information
Practice address
800 BIESTERFIELD RD, ALEXIAN BROTHERS MEDICAL CENTER, ELK GROVE, IL 60007
(847) 437-5500
(630) 734-1560
Mailing address
PO BOX 87904, DEP 2049 ATTN MEA ELK GROVE LLC, CAROL STREAM, IL 60188
(630) 734-0200
(630) 734-1560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/23/2005
Last updated
08/22/2020
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