Kerry Sullivan, DPT

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

070021507 Issued in IL

Practice address

1401 S California Ave
Chicago, IL 60608-1858

Phone

(773) 522-2010

NPI assigned

Aug 21, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471737600000",
    "number": "1629523568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W LOGAN BLVD",
            "address_2": "APT 6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471856",
            "telephone_number": "914-474-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081858",
            "telephone_number": "773-522-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KERRY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-21",
        "last_updated": "2016-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "IL",
            "license": "070021507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sullivan
• Kari A Sullivan
• Katherine Ann Sullivan, APRN, FNP-BC
• Kathryn Hope Sullivan, MA, CADC
• Kerry Sullivan, LCSW
• Kimberly Anne Sullivan, L.AC.
• Linda Sullivan, LCPC
• Mary E Sullivan
• Megan Sullivan
• Megan Elizabeth Sullivan, M.D.

• Rehabilitation Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• Rehabilitation Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.