Thomas D. Sullivan, Md, Sc

LBN: Thomas D. Sullivan, Md, Sc
Thomas D. Sullivan, Md, Sc is an health care organization with primary practice located at 120 N Oak St Neurophysiology Department, Hinsdale IL 60521-3829. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Thomas D. Sullivan, Md, Sc can be contacted via phone (630) 574-0934, or through Sullivan, Thomas D via phone (630) 574-0934.

Contact Information

Primary practice address
120 N Oak St Neurophysiology Department Hinsdale IL 60521-3829
Phone: (630) 574-0934
Fax: (630) 574-0934
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Thomas D Doctor of Medicine (MD)
Phone: (630) 574-0934

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-043333 Illinois

Profile Details

NPI number 1366451742
LBN Legal business name Thomas D. Sullivan, Md, Sc
DBA Doing business as
Authorized official Sullivan, Thomas D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated May 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366451742 NPPES
Illinois MEDICAID 036-043333
Illinois Other 02201078

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