Maggie Sullivan, is a
Speech-language Pathologist based in Harristown, Illinois. Maggie Sullivan is licensed to practice in * (Not Available) (license number ) and her current practice location is
1095 N. Meridian Road, Harristown, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 963-2621.
NPI number for Maggie Sullivan is 1629507413 and her current mailing address is 5879 Heritage Ln, Oakley, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629507413.
Healthcare Provider's Profile
Full Name | Maggie Sullivan |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1095 N. Meridian Road, Harristown, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629507413
- Provider Enumeration Date: 06/06/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Maggie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629507413 | NPI | - | NPPES |
1629507413 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 146.013726 (Illinois) | Secondary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maggie Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Maggie Sullivan, 5879 Heritage Ln, Oakley, IL 62501-7578 Ph: (217) 520-5442 | Maggie Sullivan, 1095 N. Meridian Road, Harristown, IL 62537 Ph: (217) 963-2621 |
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