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Individual

MS. SHAWNA LYNN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN/CNP

Contact information

Practice address
25 N WINFIELD RD STE 420, WINFIELD, IL 60190-1379
(630) 682-8700
(630) 352-5582
Mailing address
25 N WINFIELD RD STE 420, WINFIELD, IL 60190-1379
(630) 682-8700
(630) 352-5582

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209006872
IL
363LA2100X
Acute Care Nurse Practitioner
209.006872
IL
363LF0000X
Family Nurse Practitioner
209006872
IL

Other

Enumeration date
01/01/2008
Last updated
12/31/2025
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