Kyle Sullivan - NPI: 1083035877
National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.
| Doctor Name: | KYLE SULLIVAN |
| NPI Number: | 1083035877 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 238-000395 |
| Business Practice Address: | 720 Florsheim Dr
Libertyville, IL - 600483757 |
| Business Phone Number: | 8472474000 |
| Business Fax Number: | |
| Mailing Address: | 900 Rand Rd, Suite 300
DES PLAINES |
| State: | IL |
| Postal Code: | 600162359 |
| Phone Number: | 8473273976 |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2013 |
| NPI Last Update Date: | 12/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: | |
Taxonomy Information: |
| Healthcare Provider Taxonomy: | 246ZS0410X |
| License Number: | 238-000395 |
Healthcare Provider Taxonomy:
(Secondary) | Y |
| State: | IL |
| Taxonomy Type: | |
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