Patrick J Sullivan MDSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3639839 Issued in IL

Legal business name

PATRICK J SULLIVAN MDSC

Practice address

150 East Huron Street
Suite 805
Chicago, IL 60611-2912

Phone

(312) 649-6565

Fax

(312) 649-9842

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Patrick Joseph Sullivan

Title

Office Manager

Phone

(312) 649-6565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649310327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 EAST HURON STREET",
            "address_2": "SUITE 805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112912",
            "telephone_number": "312-649-6565",
            "fax_number": "312-649-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 EAST HURON STREET",
            "address_2": "SUITE 805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112912",
            "telephone_number": "312-649-6565",
            "fax_number": "312-649-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J SULLIVAN MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "312-649-6565"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "3639839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Pena Therapy LLC
• Patricia S Mikes MD SC
• Myrna M Patricio, MD
• Patrick Gehrlich PLLC
• Patrick J Gallagher MD SC
• Patrick Labelle DC SC
• Patrick Logistics Consultancy & Training LLC
• Patrick Malartsik DC LLC
• Nanyamka Patrick-Hinton
• Danielle Patrick-Wade, EDD

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.