Individual
TEONA DANNIELLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3709 N KEDZIE AVE, CHICAGO, IL 60618-4503
(773) 377-5492
Mailing address
9802 S MORGAN ST, CHICAGO, IL 60643-1543
(773) 386-4055
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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