Individual
DENISE OLIVIERI-SULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, (16621 S. 107TH CRT., ORLAND PARK, IL. 60467), MAYWOOD, IL 60153
(708) 873-7350
(708) 460-6138
Mailing address
2160 S 1ST AVE, (16621 S. 107TH CRT., ORLAND PARK, IL. 60467), MAYWOOD, IL 60153
(708) 873-7350
(708) 460-6138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36066514
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36066514
—
IL
Enumeration date
02/15/2006
Last updated
07/28/2009
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