Sullivan, Michelle L

Sullivan, Michelle L is an individual health care provider with primary practice located at 18210 La Grange Rd Suite 110, Tinley Park IL 60477-7722. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sullivan, Michelle L can be contacted via phone (708) 478-2500.

Contact Information

Primary practice address
18210 La Grange Rd Suite 110 Tinley Park IL 60477-7722
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1659351070
LBN Legal business name Sullivan, Michelle L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Aug 16th, 2007 - about 17 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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