Thomas Sullivan, MD

NPI #1740258946 in Freeport, Illinois

Provider Information

NPI Number: 1740258946
Entity Type: Individual
Name: Thomas Sullivan, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Mar 14, 2006
Last Updated: May 12, 2008

Practice Location

Address: 1045 W STEPHENSON ST
City: Freeport
State: Illinois
ZIP Code: 61032-4864
Phone: (815) 599-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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