Individual provider · Type 1 NPI
Mary Theresa O'Sullivan, NP
Critical Care Medicine Nurse Practitioner · Hines, IL
NPI number
1063736718
Active
Practice location
5000 S 5th Ave
Hines, IL 60141-3030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Special Hospital | 284300000X | 209007963 (IL) |
| Critical Access Hospital | 282NC0060X | 209007963 (IL) |
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | 209007963 (IL) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1063736718
Mary Theresa O'Sullivan, NP's National Provider Identifier is 1063736718, issued on Mar 24, 2010. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Hines, IL. The record was last updated on Feb 23, 2015.