Sullivan, Savannah Mae
Sullivan, Savannah Mae is an individual health care provider with primary practice located at 333 Skokie Blvd Ste 108-109 , Northbrook IL 60062-1613. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Sullivan, Savannah Mae can be contacted via phone (847) 450-6393.Contact Information
Primary practice address
333 Skokie Blvd Ste 108-109
Northbrook IL 60062-1613
Phone: (847) 450-6393
Fax: (847) 919-8375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50.007504RX | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085.008952 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1124624671 |
|---|---|
| LBN Legal business name | Sullivan, Savannah Mae |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2020 |
| Last updated | Sep 3rd, 2025 - about last year |
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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