JAMES SULLIVAN

CARBONDALE, IL
NPI1093383028
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036168431)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: PA  MT222521)
Enumeration Date2021-06-16
Last Update Date2024-06-27
Business Address
JAMES SULLIVAN MD
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 618-549-0721
Mailing Address
JAMES SULLIVAN MD
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200