Individual
MS. BETH ELLEN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3703 W LAKE AVE, SUITE200, GLENVIEW, IL 60026-1223
(847) 998-1188
(800) 918-8512
Mailing address
3703 W LAKE AVE, SUITE200, GLENVIEW, IL 60026-1223
(847) 998-1188
(800) 918-8512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
056000115
IL
225X00000X
Occupational Therapist
Primary
056000115
IL
Other
Enumeration date
02/25/2010
Last updated
12/30/2013
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