Organization
MEA MEDICAL CARE CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SULLIVAN M.D. (OWNER)
(630) 472-8800
Entity
Organization
Contact information
Practice address
1515 E LAKE ST, HANOVER PARK, IL 60133-4896
(847) 472-1500
Mailing address
DEPT 4043 PO BOX 3594, OAK BROOK, IL 60522-3594
(630) 875-1500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
08/07/2008
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