THERESE EILEEN SULLIVAN (NPI# 1629265251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629265251 |
| Entity Type | Individual |
| Full Name | THERESE EILEEN SULLIVAN |
| Credential | PA-C |
| Practice Address |
47 Brookside Dr Lemont IL 60439-7709 |
| Practice Telephone | 6302578428 |
| Mailing Telephone | 6302578428 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085003070 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518191907 | Therese Sullivan | Specialist | 15802 Cedar Ridge Ct, Granger, IN 46530-6516 | 2009-05-13 |
| 1134463037 | Therese Sullivan | Dental Hygienist | 422 E Douglas St, Oneill, NE 68763-1852 | 2012-11-15 |
| Street Address |
47 BROOKSIDE DR |
| City | LEMONT |
| State | IL |
| Zip Code | 60439-7709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801377916 | Stephanie Ann Size | Nurse Practitioner | 135th St & New Avenue, Lemont, IL 60439 | 2018-08-27 |
| 1093267544 | Blayne Denise Yarmat | Specialist/Technologist | 15822 132nd St, Lemont, IL 60439 | 2016-11-01 |
| 1720448848 | Fresenius Medical Care Lemont, LLC | Clinic/Center | 16177 W 127th Street, Lemont, IL 60439 | 2016-03-02 |
| 1629341433 | Autism Behavior & Childhood Service, Inc. | Community/Behavioral Health | 13664 Anne Drive, Lemont, IL 60439 | 2012-02-10 |
| 1295016186 | Frank James Enright II | Pharmacist | 15575 127th Street, Lemont, IL 60439 | 2011-09-06 |
| 1457632804 | Sherry A O'malley | Pharmacist | 15575 W 127th St, Lemont, IL 60439 | 2011-08-30 |
| 1093017394 | Cristy M Calderon | Behavioral Analyst | 13664 Anne Dr, Lemont, IL 60439 | 2010-11-19 |
| 1902119068 | Dr Jean Garbolski and Associates | Family Medicine | 14232 Mccarthy Road, Lemont, IL 60439 | 2010-07-19 |
| 1356660278 | Chongyang Li | Registered Nurse | 20 W 214 Meadow Ln, Lemont, IL 60439 | 2010-05-18 |
| 1972768935 | Jennifer L. Splitt-krull | Dentist | 160-b East Wend Street, Lemont, IL 60439 | 2008-07-18 |
| Find all providers in zip 60439 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
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| 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.