TIMOTHY F SULLIVAN

GALESBURG, IL
NPI1013955293
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209-001026)
Enumeration Date2006-06-02
Last Update Date2007-07-08
Business Address
-- TIMOTHY F SULLIVAN CRNA
695 N KELLOGG ST
GALESBURG, IL 61401-2807
Phone number: 309-434-8131
Mailing Address
-- TIMOTHY F SULLIVAN CRNA
695 N KELLOGG ST
GALESBURG, IL 61401-2807
Phone number: 309-434-8131
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