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Kenneth P Sullivan, MD
Diagnostic Radiology Physician in Geneva, Illinois
NPI 1619929478

Kenneth P Sullivan is a Diagnostic Radiology Physician based in Deerfield, IL and is specialized in Diagnostic Radiology. Kenneth P Sullivan practices in Geneva, IL and has the professional credentials of MD. The NPI Number for Kenneth P Sullivan is 1619929478 and holds a License No. (Illinois).

The current practice location address for Kenneth P Sullivan is 1416C South Randall Road, Geneva, IL and can be reached out via phone at 630-208-9325 and via fax at 630-208-9326.

Location: 1416C South Randall Road, Geneva, IL, 60015-5234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619929478
Provider Name
Kenneth P Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1416C South Randall Road, Geneva, IL, 60015-5234
Phone Number
630-208-9325
Fax Number
630-208-9326
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1416C South Randall Road
City
Geneva
State
Illinois
Zip
60134-4682
Phone Number
630-208-9325
Fax Number
630-208-9326
person
Provider Business Mailing Address Details
Address
1416C South Randall Road
City
Geneva
State
Illinois
Zip
60134-4682
Phone Number
630-208-9325
Fax Number
630-208-9326
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
(Illinois)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
(Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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