-- STACEY LYNN SULLIVAN -- CMA
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1891866646- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CMA
- Status
- Active
Contact & Location
- Address
- 1725 W HARRISON ST SUITE 408, CHICAGO, IL, 60612
- Phone
- (312) 997-2229
- Fax
- (312) 666-4163
Specialties & Taxonomies
Physician Assistant, Medical
Primary