Individual
CLARE O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Mailing address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58755
TX
104100000X
Social Worker
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
04/27/2026
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