LISA SULLIVAN MD S.C. NPI 1790949980

NPI Information

  • NPI: 1790949980
  • Provider Name: LISA SULLIVAN, MD S.C.
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Organization
  • Doing Business As: PANACEA ALLERGY, ASTHMA & IMMUNOLOGY
  • Address: 737 SAINT JOHNS AVE
    HIGHLAND PARK, IL
    ZIP 60035
  • Phone: (847) 805-8088

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NPI Details

LISA SULLIVAN, MD S.C. is an allergy immunology in Highland Park, IL. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. LISA SULLIVAN, MD S.C. NPI is 1790949980. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Panacea Allergy, Asthma & Immunology.

The provider's business location address is:

737 SAINT JOHNS AVE
HIGHLAND PARK, IL
ZIP 60035-650
Phone: (847) 805-8088
Fax: (847) 805-8088

The provider's authorized official is Lisa Marie Sullivan .
The authorized official title is President and has the following contact phone number (847) 805-8088.

The enumeration date for this NPI number is 7/16/2008 and was last updated on 8/24/2024.

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
1207K00000XAllergy & ImmunologyYes
2261QM2500XClinic/CenterMedical Specialty036107599ILLINOISNo

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: 3/30/2025

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