Sullivan, Paul G
Sullivan, Paul G is an individual health care provider with primary practice located at 1938 E Lincoln Hwy Suite 111, New Lenox IL 60451-3810. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Sullivan, Paul G can be contacted via phone (815) 485-2916.Contact Information
Primary practice address
1938 E Lincoln Hwy Suite 111
New Lenox IL 60451-3810
Phone: (815) 485-2916
Fax: (815) 485-2918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070010530 | Illinois |
Profile Details
| NPI number | 1154428803 |
|---|---|
| LBN Legal business name | Sullivan, Paul G |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2006 |
| Last updated | May 11th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154428803 | NPPES |
| Illinois | Other | CJ8115 | R.R. MEDICARE GRP# |
| Illinois | Other | 1619908 | R.R. MEDICARE GRP# |
| Illinois | Other | 1623066 | R.R. MEDICARE GRP# |
| Illinois | Other | 367885100 | R.R. MEDICARE GRP# |
| Illinois | Other | CJ4383 | R.R. MEDICARE GRP# |
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