Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH P SULLIVAN, MD
ActiveKENNETH P SULLIVAN, MD is a Neuroradiology healthcare provider located in GENEVA, Illinois. NPI 1619929478 is currently active in the NPPES registry. Verify at CMS.
Neuroradiology · GENEVA, IL
Registration Details
- NPI Number
- 1619929478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (20.278815325507 yrs)
- Last Updated
- Sep 11, 2025
Practice Information
- Address
-
1416C SOUTH RANDALL ROADRANDALL SQUARE SHOPPING CENTERGENEVA, IL, 601344682Browse IL providers · Browse ZIP 60134
- Phone
- 6302089325
- Fax
- 6302089326
- Primary Specialty
-
Neuroradiology
2085N0700X
- Additional Specialty
- Diagnostic Radiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.