Organization · Type 2 NPI

Mary Lynn Sullivan, M.d.p.c.

Clinic/Center · Oak Lawn, IL

NPI number 1104074806 Active

Practice location

5660 W 95th St, Suite 5
Oak Lawn, IL 60453-2380

Call (708) 499-4190 Map

Fax (708) 857-4427

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X036077688 (IL)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

12 other providers at this address

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About NPI 1104074806

Mary Lynn Sullivan, M.d.p.c.'s National Provider Identifier is 1104074806, issued on Sep 5, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Oak Lawn, IL. The record was last updated on Sep 5, 2008.