TIMOTHY P SULLIVAN

CRYSTAL LAKE, IL
NPI1396819215
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019-019319)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
Dr. TIMOTHY P SULLIVAN D.D.S.
370 W TERRA COTTA AVE
CRYSTAL LAKE, IL 60014-3512
Phone number: 815-459-2180
Mailing Address
Dr. TIMOTHY P SULLIVAN D.D.S.
370 W TERRA COTTA AVE
CRYSTAL LAKE, IL 60014-3512
Phone number: 815-459-2180