Sullivan, Maricel M

Sullivan, Maricel M is an individual health care provider with primary practice located at 9550 W 167Th St Lowr Level , Orland Park IL 60467-5561. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sullivan, Maricel M can be contacted via phone (708) 478-3960.

Contact Information

Primary practice address
9550 W 167Th St Lowr Level Orland Park IL 60467-5561
Phone: (708) 478-3960
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 041342275 Illinois

Profile Details

NPI number 1255621314
LBN Legal business name Sullivan, Maricel M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2011
Last updated May 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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