Paul Mark Sullivan in Mokena - Chiropractor
Paul Mark Sullivan - NPI 1023000700
Paul Mark Sullivan is a Chiropractor in Mokena, Illinois. Paul Mark Sullivan practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Paul Mark Sullivan is 1023000700. The last update date is 2007-07-08.
Paul Mark Sullivan's current location address is 19454 Tramore Ln, Mokena, Illinois. You can contact this provider via phone number 7084608688 and fax number 7084609272. The mailing address for Paul Mark Sullivan is 19454 Tramore Ln, Mokena, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Mark Sullivan |
|---|---|
| Address | 19454 Tramore Ln, Mokena, Illinois |
| Phone Number | 7084608688 |
| Fax Number | 7084609272 |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1023000700 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19454 Tramore Ln |
|---|---|
| City | Mokena |
| State | Illinois (IL) |
| Post Code | 604488594 |
| Phone Number | 7084608688 |
| Fax Number | 7084609272 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH7806 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2645935 | IL | AETNA HMO | |
| 7199255 | IL | NON-HMO |
Post Comment/ Review Below
What is the unique identification code assigned to Paul Mark Sullivan by the Centers for Medicare & Medicaid Services?
The Paul Mark Sullivan has been issued the NPI (National Provider Identifier) 1023000700. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Paul Mark Sullivan's facilities are geographically located?
The facilities of Paul Mark Sullivan are physically situated at the following location: 19454 Tramore Ln, Mokena, IL, 604488594.
What is Paul Mark Sullivan's area of expertise and its corresponding taxonomy classification?
The Paul Mark Sullivan's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
When was the Paul Mark Sullivan's 1023000700 issued?
The Paul Mark Sullivan's 1023000700 was issued on 2005-08-18.
When was the Paul Mark Sullivan's information last updated?
The Paul Mark Sullivan's information was last updated on 2007-07-08.