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1659351070
MICHELLE L SULLIVAN
TINLEY PARK, IL
NPI
1659351070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-091873)
Enumeration Date
2006-01-20
Last Update Date
2007-08-16
Business Address
-- MICHELLE L SULLIVAN D.O.
18210 LA GRANGE RD SUITE 110
TINLEY PARK, IL 60477-7722
Phone number: 708-478-2500
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Mailing Address
-- MICHELLE L SULLIVAN D.O.
342 N LA GRANGE RD # 365
FRANKFORT, IL 60423-2008
Phone number: 877-905-0336
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