Organization
MICHELLE L SULLIVAN DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE SULLIVAN D.O. (OWNER)
(877) 905-0336
Entity
Organization
Contact information
Practice address
1300 COPPERFIELD AVE, SUITE 1020, JOLIET, IL 60432-2004
(877) 905-0336
(877) 905-0336
Mailing address
1300 COPPERFIELD AVE, SUITE 1020, JOLIET, IL 60432-2004
(877) 905-0336
(877) 905-0336
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
IL
Other
Enumeration date
10/09/2007
Last updated
02/05/2008
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