Michelle L Sullivan Do Pc in Joliet - General Practice
Michelle L Sullivan Do Pc - NPI 1891983417
Michelle L Sullivan Do Pc is a General Practice in Joliet, Illinois. Michelle L Sullivan Do Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michelle L Sullivan Do Pc is 1891983417. The last update date is 2008-02-05.
Michelle L Sullivan Do Pc's current location address is 1300 Copperfield Ave, Joliet, Illinois. You can contact this provider via phone number 8779050336 and fax number 8779050336. The mailing address for Michelle L Sullivan Do Pc is 1300 Copperfield Ave, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michelle L Sullivan Do Pc |
|---|---|
| Address | 1300 Copperfield Ave, Joliet, Illinois |
| Phone Number | 8779050336 |
| Fax Number | 8779050336 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sullivan Michelle |
| Credentials | D.O. |
| Telephone Number | 8779050336 |
NPI Number Detail
| NPI Number | 1891983417 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2008-02-05 |
Provider Mailing Address Detail
| Address | 1300 Copperfield Ave |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604322004 |
| Phone Number | 8779050336 |
| Fax Number | 8779050336 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identification code assigned to Michelle L Sullivan Do Pc by the Centers for Medicare & Medicaid Services?
The Michelle L Sullivan Do Pc has been issued the NPI (National Provider Identifier) 1891983417, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michelle L Sullivan Do Pc?
The Michelle L Sullivan Do Pc is physically situated at 1300 Copperfield Ave, in the city of Joliet, state of IL, with the postal code 604322004.
What is Michelle L Sullivan Do Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michelle L Sullivan Do Pc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1891983417 to Michelle L Sullivan Do Pc?
The Centers for Medicare & Medicaid Services assigned the 1891983417 to Michelle L Sullivan Do Pc on 2007-10-09.
When was the Michelle L Sullivan Do Pc's information last updated?
The Michelle L Sullivan Do Pc's information was last updated on 2008-02-05.
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