Individual provider · Type 1 NPI

Michael J. Sullivan, PA-C

Physician Assistant · Belleville, IL

NPI number 1881097236 Active

Practice location

4700 Memorial Dr Ste 340
Belleville, IL 62226-5373

Call (618) 234-9884 Map

Mailing address

4500 Memorial Drive, Memorial Hospital Medical Affairs
Belleville, IL 62226

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone 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 1881097236

Michael J. Sullivan, PA-C's National Provider Identifier is 1881097236, issued on Sep 30, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Belleville, IL. The record was last updated on Feb 28, 2021.