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Mary Lynn Sullivan, M.d.p.c.
Clinic/Center in Oak Lawn, Illinois
NPI 1104074806

Mary Lynn Sullivan, M.d.p.c. is a Clinic/Center based in Oak Lawn, IL. Mary Lynn Sullivan, M.d.p.c. practices in Oak Lawn, IL. The NPI Number for Mary Lynn Sullivan, M.d.p.c. is 1104074806 and holds a License No. 036077688 (Illinois).

The current practice location address for Mary Lynn Sullivan, M.d.p.c. is 5660 W 95Th St, Oak Lawn, IL and can be reached out via phone at 708-499-4190 and via fax at 708-857-4427.

Location: 5660 W 95Th St, Oak Lawn, IL, 60453-2380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104074806
Provider Name
Mary Lynn Sullivan, M.d.p.c.
Credential
Provider Entity Type
Organization
Address
5660 W 95Th St, Oak Lawn, IL, 60453-2380
Phone Number
708-499-4190
Fax Number
708-857-4427
Provider Enumeration Date
09/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5660 W 95Th St
City
Oak Lawn
State
Illinois
Zip
60453-2380
Phone Number
708-499-4190
Fax Number
708-857-4427
person
Provider Business Mailing Address Details
Address
5660 W 95Th St
City
Oak Lawn
State
Illinois
Zip
60453-2380
Phone Number
708-499-4190
Fax Number
708-857-4427
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
036077688 (Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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