Individual
DR. SEAN SUTPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2101 WAUKEGAN RD STE 110, BANNOCKBURN, IL 60015
(847) 914-9096
(847) 914-9009
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036146136
IL
Other
Enumeration date
03/07/2012
Last updated
10/17/2019
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