Mary Lynn Sullivan, M.d.p.c.

NPI #1104074806 in Oak Lawn, Illinois

Provider Information

NPI Number
1104074806
Entity Type
Organization
Organization Name
Mary Lynn Sullivan, M.d.p.c.
Primary Specialty
Clinic/Center
Enumeration Date
Sep 5, 2008
Last Updated
Sep 5, 2008

Practice Location

Address
5660 W 95TH ST
Address 2
SUITE 5
ZIP Code
60453-2380
Phone
(708) 499-4190

Authorized Official

Name
DR. MARY LYNN SULLIVAN, MD
Title
PRESIDENT
Phone
(708) 499-4190

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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