Michael C. Sullivan & Associates | |
2200 S Main St Suite 309 Lombard IL 60148-5334 | |
(630) 705-0067 | |
(630) 705-0473 |
Full Name | Michael C. Sullivan & Associates |
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Speciality | Counselor - Professional |
Location | 2200 S Main St, Lombard, Illinois |
Authorized Official Name and Position | Michael Charles Sullivan (COUNSELOR) |
Authorized Official Contact | 6307050067 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael C. Sullivan & Associates 2200 S Main St Suite 309 Lombard IL 60148-5334 Ph: (630) 705-0067 | Michael C. Sullivan & Associates 2200 S Main St Suite 309 Lombard IL 60148-5334 Ph: (630) 705-0067 |
NPI Number | 1962546325 |
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Provider Enumeration Date | 02/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962546325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180-00004412 (Illinois) | Primary |
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