Individual
KENNETH P SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1416C SOUTH RANDALL ROAD, RANDALL SQUARE SHOPPING CENTER, GENEVA, IL 60134-4682
(630) 208-9325
(630) 208-9326
Mailing address
1121 LAKE COOK ROAD, SUITE M, DEERFIELD, IL 60015-5234
(847) 945-4550
(847) 948-8103
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
—
IL
2085R0202X
Diagnostic Radiology Physician
—
IL
Other
Enumeration date
05/17/2006
Last updated
09/11/2025
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