Sullivan, Henry James

Sullivan, Henry James is an individual health care provider with primary practice located at 4400 W 95Th St Ste 308 , Oak Lawn IL 60453-2660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Sullivan, Henry James can be contacted via phone (708) 346-4040.

Contact Information

Primary practice address
4400 W 95Th St Ste 308 Oak Lawn IL 60453-2660
Fax: (708) 346-3287
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036041828 Illinois

Profile Details

NPI number 1831157999
LBN Legal business name Sullivan, Henry James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Dec 17th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831157999 NPPES
Illinois MEDICAID 036041828

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