Individual
ISIAH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
25 E OHIO ST, CHICAGO, IL 60611-2707
(312) 340-3730
Mailing address
25 E OHIO ST, CHICAGO, IL 60611-2707
(312) 340-3730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051307504
IL
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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