Individual provider · Type 1 NPI
Kenneth P. Sullivan, MD
Neuroradiology Physician · Geneva, IL
NPI number
1619929478
Active
Practice location
1416C South Randall Road, Randall Square Shopping Center
Geneva, IL 60134-4682
Fax (630) 208-9326
Mailing address
1121 Lake Cook Road, Suite M
Deerfield, IL 60015-5234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neuroradiology Physician Primary | 2085N0700X | None listed |
| Diagnostic Radiology Physician | 2085R0202X | None listed |
Neuroradiology Physician: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
2 other providers at this address
About NPI 1619929478
Kenneth P. Sullivan, MD's National Provider Identifier is 1619929478, issued on May 17, 2006. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in Geneva, IL. The record was last updated on Jul 13, 2026.