Organization
ADDISON PODIATRY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA SULLIVAN DPM (DOCTOR OF PODIATRIC MEDICINE)
(630) 205-4557
Entity
Organization
Contact information
Practice address
1250 W LAKE ST, ADDISON, IL 60101-5744
(630) 543-3000
Mailing address
198 SUNNYBROOK RD, GLEN ELLYN, IL 60137-6477
(630) 205-4557
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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