MICHELLE L SULLIVAN DO PC NPI 1891983417

NPI Information

  • NPI: 1891983417
  • Provider Name: MICHELLE L SULLIVAN DO PC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1300 COPPERFIELD AVE
    SUITE 1020
    JOLIET, IL
    ZIP 60432
  • Phone: (877) 905-0336

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NPI Details

MICHELLE L SULLIVAN DO PC is a general practice in Joliet, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MICHELLE L SULLIVAN DO PC NPI is 1891983417. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1300 COPPERFIELD AVE
SUITE 1020
JOLIET, IL
ZIP 60432-004
Phone: (877) 905-0336
Fax: (877) 905-0336

The provider's authorized official is Michelle Sullivan .
The authorized official title is Owner and has the following contact phone number (877) 905-0336.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 2/5/2008.

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
1208D00000XGeneral PracticeILLINOISYes

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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