Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA A SULLIVAN, D.P.M.
Active Sole ProprietorJESSICA A SULLIVAN, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in ADDISON, Illinois. NPI 1750736195 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · ADDISON, IL
Registration Details
- NPI Number
- 1750736195
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2016 (10.329203056318 yrs)
- Last Updated
- Aug 1, 2022
- License
-
016005718 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1250 W LAKE STSTE 16ADDISON, IL, 601015744Browse IL providers · Browse ZIP 60101
- Phone
- 6305433000
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
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.