Individual
ALLISON KATHLEEN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2025 ABERDEEN CT, SYCAMORE, IL 60178-3140
(815) 758-3666
Mailing address
2025 ABERDEEN CT, SYCAMORE, IL 60178-3140
(815) 758-3666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031739
IL
Other
Enumeration date
07/22/2018
Last updated
07/22/2018
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