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Dr. Miriam Jill Sullivan, MD
Diagnostic Radiology Physician in Springfield, Illinois
NPI 1851404768

Miriam Jill Sullivan is a Diagnostic Radiology Physician based in Springfield, IL and is specialized in Diagnostic Radiology. Miriam Jill Sullivan practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Miriam Jill Sullivan is 1851404768 and holds a License No. 036063951 (Illinois).

The current practice location address for Miriam Jill Sullivan is 800 E Carpenter St, Springfield, IL and can be reached out via phone at 217-544-6464 and via fax at 217-525-5671.

Location: 800 E Carpenter St, Springfield, IL, 62701-3121
person
Provider Profile Details
NPI Number
1851404768
Provider Name
Miriam Jill Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
800 E Carpenter St, Springfield, IL, 62701-3121
Phone Number
217-544-6464
Fax Number
217-525-5671
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36063951 05 IL
P00028347 01 IL RR MEDICARE
300015701 01 IL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
800 E Carpenter St
City
State
Zip
62702-5324
Phone Number
217-544-6464
Fax Number
217-525-5671
person
Provider Business Mailing Address Details
Address
800 E Carpenter St
City
State
Zip
62702-5324
Phone Number
217-544-6464
Fax Number
217-525-5671
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
036063951 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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