Jerry Sullivan is a Physical Therapist in Elgin, Illinois. Jerry Sullivan practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jerry Sullivan is 1487631594. The last update date is 2013-10-25.
Jerry Sullivan's current location address is 1975 Lin Lor Ln, Elgin, Illinois. You can contact this provider via phone number 8474686098. The mailing address for Jerry Sullivan is 1975 Lin Lor Ln, Elgin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Sullivan |
|---|---|
| Address | 1975 Lin Lor Ln, Elgin, Illinois |
| Phone Number | 8474686098 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1487631594 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2013-10-25 |
Provider Mailing Address Detail
| Address | 1975 Lin Lor Ln |
|---|---|
| City | Elgin |
| State | Illinois (IL) |
| Post Code | 601234902 |
| Phone Number | 8474686098 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 070-002636 |
|
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 753210 | MEDICARE GROUP | ||
| CF2064 | RAILROAD GROUP | ||
| 70002636 | IL | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jerry Sullivan?
The Jerry Sullivan has been issued the NPI (National Provider Identifier) 1487631594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jerry Sullivan is physically located?
The Jerry Sullivan is physically situated at the following address: 1975 Lin Lor Ln, Elgin, IL, 601234902.
What is Jerry Sullivan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry Sullivan is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
When was the Jerry Sullivan's 1487631594 issued?
The Jerry Sullivan's 1487631594 was issued on 2005-12-29.
As of what date was the information regarding Jerry Sullivan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry Sullivan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-10-25.