JERRY SULLIVAN

ELGIN, IL
NPI1487631594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-002636)
Enumeration Date2005-12-29
Last Update Date2013-10-25
Business Address
-- JERRY SULLIVAN PT
1975 LIN LOR LN
ELGIN, IL 60123-4902
Phone number: 847-468-6098
Mailing Address
-- JERRY SULLIVAN PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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