Individual
DR. KERRY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
(773) 522-2010
Mailing address
2740 W LOGAN BLVD, APT 6, CHICAGO, IL 60647-1856
(914) 474-2851
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
070021507
IL
Other
Enumeration date
08/21/2016
Last updated
08/21/2016
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