Organization · Type 2 NPI

Sullivan Medical Square, Inc

General Practice Physician · Chicago, IL

NPI number 1033403282 Active

Practice location

15 S Kedzie Ave
Chicago, IL 60612-2705

Call (773) 638-2651 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X03612661 (IL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

2 other providers at this address

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About NPI 1033403282

Sullivan Medical Square, Inc's National Provider Identifier is 1033403282, issued on Jun 6, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 14, 2013.