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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY LYNN SULLIVAN, CMA

Active

STACEY LYNN SULLIVAN, CMA is a Medical Physician Assistant healthcare provider located in CHICAGO, Illinois. NPI 1891866646 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · CHICAGO, IL

Registration Details

NPI Number
1891866646
Provider Type
Individual
Gender
Female
NPI Issued
Nov 13, 2006 (19.708974900686 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
1725 W HARRISON ST
SUITE 408
CHICAGO, IL, 60612
Browse IL providers · Browse ZIP 60612
Phone
3129972229
Fax
3126664163
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in CHICAGO, IL

Name Credential NPI
HARENDRA P. SHAH PA-C 1306847207
MRS. JOANNE SIM BAVELIS PAC 1063406718
MS. TRACI AARON PA-C 1174510200
MS. LACEY MONTGOMERY PA-C 1639166796
MR. BARRY S SABRANSKY PA-C 1598752578
GINA J UGO-NEFF PA-C 1174511851
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.