MYRTIS SULLIVAN M.D NPI 1770981151

NPI Information

  • NPI: 1770981151
  • Provider Name: MYRTIS SULLIVAN, M.D
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 1415 N DEARBORN ST
    26-B
    CHICAGO, IL
    ZIP 60610
  • Phone: (312) 440-6694

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NPI Details

Myrtis Sullivan, M.D is a pediatrics in Chicago, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Myrtis Sullivan, M.D NPI is 1770981151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1415 N DEARBORN ST
26-B
CHICAGO, IL
ZIP 60610-559
Phone: (312) 440-6694

The enumeration date for this NPI number is 12/16/2014 and was last updated on 12/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics36-060225ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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