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Dr. Ian Wright Sullivan, DO
Vascular & Interventional Radiology Physician in Maywood, Illinois
NPI 1811384613

Ian Wright Sullivan is a Vascular & Interventional Radiology Physician based in Maywood, IL and is specialized in Vascular & Interventional Radiology. Ian Wright Sullivan practices in Maywood, IL and has the professional credentials of DO. The NPI Number for Ian Wright Sullivan is 1811384613 and holds a License No. (Illinois).

The current practice location address for Ian Wright Sullivan is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-5306.

Location: 2160 S 1St Ave, Maywood, IL, 60153-3328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811384613
Provider Name
Ian Wright Sullivan
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 60153-3328
Phone Number
708-216-5306
Fax Number
Provider Enumeration Date
04/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-5306
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-5306
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
036.152223 (Illinois)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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