Individual provider · Type 1 NPI

Savannah Mae Sullivan, PA-C

Physician Assistant · Northbrook, IL

NPI number 1124624671 Active

Practice location

333 Skokie Blvd Ste 108-109
Northbrook, IL 60062-1613

Call (847) 450-6393 Map

Fax (847) 919-8375

Mailing address

4247 S Valentina Bay
Salt Lake City, UT 84107-3394

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	50.007504RX (OH)
Physician Assistant Primary	363A00000X	085.008952 (IL)
Student in an Organized Health Care Education/Training Program	390200000X	None listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124624671

Savannah Mae Sullivan, PA-C's National Provider Identifier is 1124624671, issued on Dec 9, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Northbrook, IL. The record was last updated on Sep 3, 2025.