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Thomas D. Sullivan, Md, Sc
Specialist in Hinsdale, Illinois
NPI 1366451742

Thomas D. Sullivan, Md, Sc is a Specialist based in Oak Brook, IL. Thomas D. Sullivan, Md, Sc practices in Hinsdale, IL. The NPI Number for Thomas D. Sullivan, Md, Sc is 1366451742 and holds a License No. 036-043333 (Illinois).

The current practice location address for Thomas D. Sullivan, Md, Sc is 120 N Oak St, Hinsdale, IL and can be reached out via phone at 630-574-0934 and via fax at 630-574-0934.

Location: 120 N Oak St, Hinsdale, IL, 60522-3575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366451742
Provider Name
Thomas D. Sullivan, Md, Sc
Credential
Provider Entity Type
Organization
Address
120 N Oak St, Hinsdale, IL, 60522-3575
Phone Number
630-574-0934
Fax Number
630-574-0934
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036-043333 05 IL
02201078 01 IL BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
120 N Oak St
City
Hinsdale
State
Illinois
Zip
60521-3829
Phone Number
630-574-0934
Fax Number
630-574-0934
person
Provider Business Mailing Address Details
Address
120 N Oak St
City
Hinsdale
State
Illinois
Zip
60521-3829
Phone Number
630-574-0934
Fax Number
630-574-0934
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036-043333 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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