THOMAS SULLIVAN

FREEPORT, IL
NPI1740258946
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036-060631)
Enumeration Date2006-03-14
Last Update Date2008-05-12
Business Address
-- THOMAS SULLIVAN MD
1045 W STEPHENSON ST
FREEPORT, IL 61032-4864
Phone number: 815-599-6000
Mailing Address
-- THOMAS SULLIVAN MD
17503 BEAVERTON RD
CAPRON, IL 61012-9778
Phone number: