MR. WILLIAM JAMES SULLIVAN (NPI# 1124396163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124396163 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM JAMES SULLIVAN |
| Credential | ATC |
| Practice Address |
18660 Graphic Dr Tinley Park IL 60477-6257 |
| Mailing Address |
517 E South St Durand IL 61024-9674 |
| Practice Telephone | 7086861100 |
| Mailing Telephone | 8152226285 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096.003196 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047359 | William M Sullivan Jr. | Counselor | 880 Central St Ste 10, Franklin, NH 03235-2040 | 2017-11-28 |
| 1669809331 | William Sullivan | Counselor | 18 Ascot Ct, Blythewood, SC 29016-9086 | 2013-09-26 |
| 1265729354 | William Eugene Sullivan | Optometrist | 6511 Sully Lane Pr, West Richland, WA 99353-8002 | 2011-07-09 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1295863603 | William F Sullivan | Counselor | Adcare, 14 Beacon Street, 801, Boston, MA 02108 | 2007-02-28 |
| 1093805897 | William J Sullivan | Internal Medicine | 608 Willard, Frontenac, KS 66763-2120 | 2006-10-13 |
| 1902911027 | William P. Sullivan | Emergency Medicine | 21200 S La Grange Rd # 365, Frankfort, IL 60423-2003 | 2006-08-20 |
| 1710911177 | William Larry Sullivan | Emergency Medicine | 4308 Topaz Cir Se, Decatur, AL 35603-5236 | 2006-07-10 |
| 1588614630 | William Walter Sullivan | Dentist | 6810 Post Rd, North Kingstown, RI 02852 | 2006-05-11 |
| 1285625541 | William Michael Sullivan | Specialist/Technologist | 3114 Hillary Ct, Joliet, IL 60435-9040 | 2005-11-04 |
| Street Address |
18660 GRAPHIC DR |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-6257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720165723 | Suburban Surgical Facility | Clinic/Center | 18660 Graphic Dr, Ste 100, Tinley Park, IL 60477-6260 | 2006-11-01 |
| 1649694936 | Emmett Smith Jr. | Physician Assistant | 18660 Graphic Dr, Suite 100, Tinley Park, IL 60477-6260 | 2014-02-07 |
| 1407162720 | Tinley Park Open Mri&imaging Center Ltd | Clinic/Center | 18660 Graphic Dr, Suite 101, Tinley Park, IL 60477-6257 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548704984 | Brandon Collins | Specialist/Technologist | 8078 Stonegate Dr, Tinley Park, IL 60487-7194 | 2016-12-04 |
| 1851749204 | Morgan Mcdermott | Specialist/Technologist | 17030 Amherst Ln, Tinley Park, IL 60477-2435 | 2016-05-26 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1457720989 | Michael Schauer | Specialist/Technologist | 7900 Belle Rive Ct, Tinley Park, IL 60477-4587 | 2015-09-15 |
| 1942587688 | Phillip Brent Rossberg | Specialist/Technologist | 8407 Castle Dr, Tinley Park, IL 60487-7645 | 2011-11-09 |
| 1992897847 | Kevin Patrick Bresnahan | Specialist/Technologist | 16651 Harlem Ave, Tinley Park, IL 60477-2581 | 2006-09-29 |
| 1376518894 | Sheila Lynn Bigelow | Specialist/Technologist | 17837 80th Ave, Tinley Park, IL 60477-5023 | 2006-02-19 |
| 1962987370 | Jeanette Frost | Specialist/Technologist | 16651 Harlem Ave, Tinley Park, IL 60477-2895 | 2018-10-02 |
| 1750747465 | Sheryl L Freudinger | Specialist/Technologist | 18660 Graphics Drive, Suite 200, Tinley Park, IL 60477 | 2016-01-11 |
| 1457521171 | Brian Joesph Conroy | Specialist/Technologist | 16651 Harlem Ave, Tinley Park, IL 60477-2895 | 2008-03-10 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
Please comment or provide details below to improve the information on MR. WILLIAM JAMES SULLIVAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.