Individual provider · Type 1 NPI
Meghan Doepke Sullivan, CPNP-PC
Pediatric Nurse Practitioner · Chicago, IL
NPI number
1487160586
Active
Practice location
1030 N Clark St Ste 400
Chicago, IL 60610-5468
Mailing address
3522 N Racine Ave
Chicago, IL 60657-7890
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209017049 (IL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1487160586
Meghan Doepke Sullivan, CPNP-PC's National Provider Identifier is 1487160586, issued on Dec 27, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chicago, IL. The record was last updated on Dec 27, 2017.