Individual
DR. MAURICE EUGENE SULLIVAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1209 N MAIN ST, #B, CHATHAM, IL 62629-0264
(217) 483-2207
(217) 483-3248
Mailing address
PO BOX 264, CHATHAM, IL 62629-0264
(217) 483-2207
(217) 483-3248
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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