Individual provider · Type 1 NPI

Miriam Jill Sullivan, MD

Diagnostic Radiology Physician · Springfield, IL

NPI number 1851404768 Active

Practice location

800 E Carpenter St, Department Of Radiology
Springfield, IL 62702-5324

Call (217) 544-6464 Map

Fax (217) 525-5671

Mailing address

319 E Madison St Ste 2C
Springfield, IL 62701-3121

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X036063951 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1851404768

Miriam Jill Sullivan, MD's National Provider Identifier is 1851404768, issued on Aug 16, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Springfield, IL. The record was last updated on Feb 11, 2009.