Individual
DR. CHRISTOPHER J. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17850 KEDZIE AVE STE 3250, HAZEL CREST, IL 60429-2082
(708) 779-8700
(708) 957-1830
Mailing address
17850 KEDZIE AVE STE 3250, HAZEL CREST, IL 60429-2082
(708) 779-8700
(708) 957-1830
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036093913
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093913
—
IL
Enumeration date
07/25/2006
Last updated
12/20/2021
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