| NPI | 1598883613 |
|---|---|
| Doing Business As | SULLIVAN CLINIC |
| Entity Type | Organization |
| Authorized Contact | DENNIS PLUARD CFO 217-258-2513 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-04-20 |