Individual
DR. BRIAN C SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
(708) 923-5800
(708) 923-8324
Mailing address
9944 S ROBERTS RD, SUITE 204, PALOS HILLS, IL 60465-1555
(708) 233-8709
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
07/13/2005
Last updated
11/16/2007
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