O'Sullivan, Mary Theresa

O'Sullivan, Mary Theresa is an sole proprietor health care provider with primary practice located at 5000 S 5Th Ave , Hines IL 60141-3030. She recently has 3 registered licenses in different health care specialties including Hospitals / Special Hospital, Hospitals / Critical Access, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. O'Sullivan, Mary Theresa can be contacted via phone (708) 202-5988.

Contact Information

Primary practice address
5000 S 5Th Ave Hines IL 60141-3030
Phone: (708) 202-5988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Special Hospital 284300000X 209007963 Illinois
Hospitals / Critical Access 282NC0060X 209007963 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 209007963 Illinois

Profile Details

NPI number 1063736718
LBN Legal business name O'Sullivan, Mary Theresa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2010
Last updated Feb 23rd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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